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JAZMINE S RANDOLPH
NPI 1487355087
Nurse Practitioner - Acute Care in Detroit, MI

Active since March 13, 2023PECOS Enrolled
9608 PINEHURST ST, DETROIT, MI 48204(313) 421-9771 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jazmine S Randolph NPPES

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

JAZMINE S RANDOLPH (NPI 1487355087) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704327595) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487355087
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJAZMINE S RANDOLPH
Location Address9608 PINEHURST STDetroit, MI 48204-4652
Mailing Address9608 Pinehurst StDetroit, MI 48204-4652
Phone(313) 421-9771
Sole ProprietorNo
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 12, 2023
✔ NPI 1487355087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704327595
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704327595 (MI)
9608 PINEHURST ST, Detroit, MI 48204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Jazmine S Randolph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48204 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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.

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 Jazmine Randolph's NPI number?

The NPI number for Jazmine Randolph is 1487355087. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Jazmine Randolph located?

Jazmine Randolph practices at 9608 Pinehurst St, Detroit, MI 48204. The listed phone number is (313) 421-9771.

What is Jazmine Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jazmine Randolph enrolled in Medicare?

Yes. Jazmine Randolph is registered in the Medicare PECOS enrollment system.

What insurance does Jazmine Randolph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Jazmine Randolph 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.

When was this NPI record last updated?

The NPPES record for Jazmine Randolph was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.