JAZMINE S RANDOLPH
NPI 1487355087
Nurse Practitioner - Acute Care in Detroit, MI
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 and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jazmine S Randolph 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.
Medicare Billing Reassignment
Medicare enrollment records show Jazmine Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 26 clinicians in this Medicare group
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 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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jazmine Randolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jazmine Randolph reassigns Medicare benefits to Halo Medical Group PLLC (Detroit, MI). The 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 Jazmine Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 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 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.
# Jazmine S Randolph · NPI 1487355087
Acute Care physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 13, 2023.
## Identity
- **NPI:** 1487355087 (Entity type: Individual)
- **Enumerated:** March 13, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704327595 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 9608 PINEHURST ST, Detroit, MI 48204-4652
- **Phone:** (313) 421-9771
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Halo Medical Group PLLC (NPI 1811214489, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 13, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1487355087) · Data from the CMS NPPES public registry.