CARRIE ANN RANDLE FNP
NPI 1558557348
Nurse Practitioner - Family in San Diego, CA
About Carrie Ann Randle Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRIE ANN RANDLE FNP (NPI 1558557348) is an individual family provider in San Diego, California, licensed in California (NP17359) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Carrie Ann Randle Fnp 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 Reassignments
2Medicare enrollment records show Carrie Randle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 33 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 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 92134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92134
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 Carrie Randle's NPI number?
The NPI number for Carrie Randle is 1558557348. It was assigned to this individual provider in the NPPES registry on September 14, 2007.
Where is Carrie Randle located?
Carrie Randle practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-8109.
What is Carrie Randle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carrie Randle enrolled in Medicare?
Yes. Carrie Randle 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 organizations bill Medicare for Carrie Randle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Randle reassigns Medicare benefits to 2 organizations: Somagen Healthcare Inc (San Diego, CA) and Rady Children's Hospital San Diego (San Diego, CA). 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 Carrie Randle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carrie Randle accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Carrie Randle 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 Carrie Randle was last updated on March 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Carrie Ann Randle, FNP · NPI 1558557348
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 14, 2007.
## Identity
- **NPI:** 1558557348 (Entity type: Individual)
- **Enumerated:** September 14, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP17359 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 34800 BOB WILSON DR, San Diego, CA 92134-1098
- **Phone:** (619) 532-8109
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Somagen Healthcare Inc (NPI 1770015901, San Diego, CA); Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** March 24, 2024
- **Other identifiers:** Medicaid RN639033 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1558557348) · Data from the CMS NPPES public registry.