SUSAN RANDALL NP
NPI 1487885307
Nurse Practitioner in Charlotte, NC

Q: What is Susan Randall's NPI number?

The NPI number for Susan Randall is 1487885307. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Q: What is Susan Randall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Randall was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 28, 2009PECOS Enrolled

1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203(704) 381-8840 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2021, Jan 6, 2021, Dec 29, 2020 and 43 more (46 updates tracked since 2016).

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About Susan Randall Np NPPES

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

SUSAN RANDALL NP (NPI 1487885307) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5004438) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1487885307

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN RANDALLCredential: NP

Location Address1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200Charlotte, NC 28203-5866

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 381-8840

Sole ProprietorNo

Enumeration DateJuly 28, 2009

Last NPPES UpdateJanuary 20, 202146 updates tracked since enumeration

✔ NPI 1487885307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in NC · 5004438✔ Licensed in SC · 102484

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1001 BLYTHE BLVD, Charlotte, NC 28203

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Secondary Practice Locations 4

Location 114214 Ballantyne Lake RdCharlotte, NC 28277-3372 · Phone (704) 381-8840

Location 21781 Tate Blvd SEHickory, NC 28602-4251 · Phone (704) 381-8840

Location 3100 Medical Park Dr, Ste 310Concord, NC 28025-2948 · Phone (704) 403-2660

Location 42550 Court DrGastonia, NC 28054-2152 · Phone (704) 381-8840

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Randall Np 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 28203 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.