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MELISA RANDALL PA
NPI 1427782549
Physician Assistant in Boise, ID

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment
222 N 2ND ST STE 204, BOISE, ID 83702(208) 429-9100 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 11, 2022, Jul 13, 2022 (2 updates tracked since 2022).

About Melisa Randall Pa NPPES

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

MELISA RANDALL PA (NPI 1427782549) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-2359) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427782549
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELISA RANDALLCredential: PA
Location Address222 N 2ND ST STE 204Boise, ID 83702-6130
Mailing Address222 N 2nd St Ste 204Boise, ID 83702-6130 · (208) 429-9100
Phone(208) 429-9100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 13, 2022
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1427782549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-2359
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedRadiologic Technologist · RadiographyTaxonomy 2471C3402X · License 583626 (ID)
222 N 2ND ST STE 204, Boise, ID 83702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Melisa Randall Pa 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 ID7810365830
PECOS Enrollment IDI20221123001469
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.

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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 3

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

CASANDRA ODOMS
Physician Assistant
222 N 2ND ST STE 204
BOISE, ID 83702
Ada County (208) 429-9100
ASHLEY A DAVIS MD
Family Medicine
222 N 2ND ST STE 204
BOISE, ID 83702
Ada County (208) 429-9100
ALMA MARIE OSBORN N.P.
Registered Nurse (General Practice)
222 N 2ND ST STE 204
BOISE, ID 83702
Ada County (208) 429-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melisa Randall's NPI number?

The NPI number for Melisa Randall is 1427782549. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Melisa Randall located?

Melisa Randall practices at 222 N 2nd St Ste 204, Boise, ID 83702. The listed phone number is (208) 429-9100.

What is Melisa Randall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Melisa Randall enrolled in Medicare?

Yes. Melisa Randall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melisa Randall accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Melisa Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melisa Randall affiliated with any hospitals?

According to CMS data, Melisa Randall is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Melisa Randall was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.