HOLLY ANN RANDALL
NPI 1649039165
Nurse Practitioner - Primary Care in Heath, OH
About Holly Ann Randall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY ANN RANDALL (NPI 1649039165) is an individual primary care provider in Heath, Ohio, licensed in Ohio (APRN.CNP.0036031) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Holly Ann Randall 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 Holly Randall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Zanesville, OH 43701
- Reassigned Medicare billing, Ohio enrollment
- 300 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Ohio enrollment
- 672 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Genesis Hospital
Acute Care Hospitals · Zanesville, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43056 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 Holly Randall's NPI number?
The NPI number for Holly Randall is 1649039165. It was assigned to this individual provider in the NPPES registry on March 18, 2024.
Where is Holly Randall located?
Holly Randall practices at 623 Louise Ave, Heath, OH 43056. The listed phone number is (740) 404-6522.
What is Holly Randall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Holly Randall enrolled in Medicare?
Yes. Holly Randall 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 Holly Randall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Randall reassigns Medicare benefits to 2 organizations: Genesis Medical Group LLC (Zanesville, OH) and Signify Health, LLC (Dallas, TX). 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 Holly Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Randall accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, CareSource (Common Ground Healthcare) and MedMutual list Holly Randall 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.
Is Holly Randall affiliated with any hospitals?
According to CMS data, Holly Randall is affiliated with Genesis Hospital.
When was this NPI record last updated?
The NPPES record for Holly Randall was last updated on March 18, 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.
# Holly Ann Randall · NPI 1649039165
Primary Care physician in Heath, Ohio. Individual provider, active in the CMS NPPES registry since March 18, 2024.
## Identity
- **NPI:** 1649039165 (Entity type: Individual)
- **Enumerated:** March 18, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** APRN.CNP.0036031 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 623 LOUISE AVE, Heath, OH 43056-1227
- **Phone:** (740) 404-6522
## 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): Genesis Medical Group LLC (NPI 1063663433, Zanesville, OH); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649039165) · Data from the CMS NPPES public registry.