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RANDI NICOLE BOUCHILLON DNP, FNP-C
NPI 1437888138
Nurse Practitioner - Family in Prince Frederick, MD

Active since June 08, 2022PECOS Enrolled
85 HOSPITAL RD, PRINCE FREDERICK, MD 20678(410) 535-2300(410) 535-1505 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2026, May 15, 2026, Apr 12, 2023 and 2 more (5 updates tracked since 2022).

About Randi Nicole Bouchillon Dnp, Fnp-c NPPES

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

RANDI NICOLE BOUCHILLON DNP, FNP-C (NPI 1437888138) is an individual family provider in Prince Frederick, Maryland, licensed in Maryland (R244896) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1437888138
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRANDI NICOLE BOUCHILLONCredential: DNP, FNP-C
Location Address85 HOSPITAL RDPrince Frederick, MD 20678-4018
Mailing Address85 Hospital RdPrince Frederick, MD 20678-4018 · (240) 717-9661 · Fax (410) 535-1505
Phone(410) 535-2300
Fax(410) 535-1505
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 8, 2022
Last NPPES UpdateMay 26, 20265 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1437888138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R244896
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License R244896 (MD)
85 HOSPITAL RD, Prince Frederick, MD 20678
Open in Google Maps ↗

Other Identifiers 2

Medicaid815444357MD
OtherR244896MD · Rn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randi Nicole Bouchillon Dnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092299792
PECOS Enrollment IDI20260320001095
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Randi Bouchillon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mdics At Civista LLC
20 mi
Hospitalist
5 GARRETT AVE
La Plata, MD 20646
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Medicare enrollment name: Mdics Rehabilitative Services LLC
  • Also billed through NPI 1124313309 (District of Columbia)
  • 61 clinicians in this Medicare group
NPI 1225323496 (443) 949-0814
Mdics Rehabilitative Services - Ltcaco LLC
21 mi
Internal Medicine
121 MORRIS DR
La Plata, MD 20646
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 54 clinicians in this Medicare group
NPI 1033005475 (410) 999-1133

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20678 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 9

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

MS. CARLA SCHELL BOWLING NP
Nurse Practitioner (Adult Health)
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (443) 827-9593
MELISSA NELSON
Physical Therapy Assistant
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2300
OASIS NURSING & REHAB LLC
Nursing Care
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (718) 551-1715
INTEGRATED WOUND CARE MARYLAND LLC
General Practice
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (201) 870-1194
MDICS REHABILITATIVE SERVICES - LTCACO LLC
Internal Medicine
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2300
MDICS REHABILITATIVE SERVICES LLC
Internal Medicine
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2300
CALVERTHEALTH MEDICAL CENTER, INC.
Clinic/Center (Radiology, Mobile)
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-8320
SHARENE GORDON PT
Physical Therapist
85 HOSPITAL RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-2300

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 Randi Bouchillon's NPI number?

The NPI number for Randi Bouchillon is 1437888138. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Randi Bouchillon located?

Randi Bouchillon practices at 85 Hospital Rd, Prince Frederick, MD 20678. The listed phone number is (410) 535-2300.

What is Randi Bouchillon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Randi Bouchillon enrolled in Medicare?

Yes. Randi Bouchillon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Randi Bouchillon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randi Bouchillon reassigns Medicare benefits to 2 organizations: Mdics At Civista LLC (La Plata, MD) and Mdics Rehabilitative Services - Ltcaco LLC (La Plata, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randi Bouchillon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randi Bouchillon was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.