JESSICA RANDALL NP
NPI 1629587027
Nurse Practitioner - Adult Health in Clifton Springs, NY

Q: What is Jessica Randall's NPI number?

The NPI number for Jessica Randall is 1629587027. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Q: What is Jessica Randall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Randall was last updated on January 10, 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.

Active since September 28, 2017PECOS EnrolledAccepts Medicare Assignment

2 COULTER RD, CLIFTON SPRINGS, NY 14432(315) 462-1800(315) 462-7249 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 10, 2023, May 6, 2020 (2 updates tracked since 2020).

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About Jessica Randall Np NPPES

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

JESSICA RANDALL NP (NPI 1629587027) is an individual adult health provider in Clifton Springs, New York, licensed in New York (308483) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629587027

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJESSICA RANDALLCredential: NP

Location Address2 COULTER RDClifton Springs, NY 14432-1122

Mailing Address2 Coulter RdClifton Springs, NY 14432-1122 · (315) 462-1800 · Fax (315) 462-7249

Phone(315) 462-1800

Fax(315) 462-7249

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 28, 2017

Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2023

✔ NPI 1629587027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 308483

2 COULTER RD, Clifton Springs, NY 14432

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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

Jessica Randall Np 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.

PECOS PAC ID7315378056

PECOS Enrollment IDI20200512002842

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

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

Clifton Springs Sanitarium Co

Same address

General Acute Care Hospital

2 COULTER RD
Clifton Springs, NY 14432

Reassigned Medicare billing, New York enrollment
872 clinicians in this Medicare group

NPI 1366505463 (315) 462-9561

Brookview Medical Associates, PLLC

257 mi

General Practice

80 ORVILLE DR STE 100
Bohemia, NY 11716

Reassigned Medicare billing, New York enrollment
754 clinicians in this Medicare group

NPI 1871965855 (972) 715-3800

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

44 services44 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

36 services36 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330265

Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14432 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 20

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

MORGAN KAY DOYLE

Social Worker (Clinical)