JACLYN RANDEL MD
NPI 1386624591
Family Medicine - Addiction Medicine in Ypsilanti, MI

Q: What is Jaclyn Randel's NPI number?

The NPI number for Jaclyn Randel is 1386624591. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Jaclyn Randel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Randel was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment

5333 MCAULEY DR RM 5011, YPSILANTI, MI 48197(734) 622-5016(734) 622-5017 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2019, Mar 4, 2019 (2 updates tracked since 2019).

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About Jaclyn Randel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN RANDEL MD (NPI 1386624591) is an individual addiction medicine provider in Ypsilanti, Michigan, licensed in Michigan (4301054205) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386624591

Entity TypeIndividualFemale

Primary Taxonomy207QA0401X

Provider Legal NameJACLYN RANDELCredential: MD

Location Address5333 MCAULEY DR RM 5011Ypsilanti, MI 48197-1003

Mailing Address24 Frank Lloyd Wright Dr Lbby J2000Ann Arbor, MI 48105-9484

Phone(734) 622-5016

Fax(734) 622-5017

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1989

Enumeration DateJanuary 23, 2006

Last NPPES UpdateJune 13, 20192 updates tracked since enumeration

✔ NPI 1386624591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in MI · 4301054205

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301054205 (MI)

5333 MCAULEY DR RM 5011, Ypsilanti, MI 48197

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Secondary Practice Locations 2

Location 12001 S Merriman Rd, Suite 100Westland, MI 48186-5539 · Phone (734) 727-1000

Location 24200 Whitehall Dr Ste 250Ann Arbor, MI 48105 · Phone (734) 622-5016 · Fax (734) 622-5017

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Randel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072594340

PECOS Enrollment IDI20040525000491

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

134 services29 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

39 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230156

Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRENDAN SULLIVAN

Internal Medicine (Addiction Medicine)