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DR. BLAKE WILLIAM RANDLES D.C.
NPI 1679886675
Nurse Practitioner - Gerontology in Carlinville, IL

Active since July 19, 2010PECOS Enrolled
20733 N BROAD ST, CARLINVILLE, IL 62626(217) 854-3141 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Jun 22, 2024 (2 updates tracked since 2024).

About Dr. Blake William Randles D.c. NPPES

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

DR. BLAKE WILLIAM RANDLES D.C. (NPI 1679886675) is an individual gerontology provider in Carlinville, Illinois, licensed in Illinois (209031892) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679886675
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameDR. BLAKE WILLIAM RANDLESCredential: D.C.
Location Address20733 N BROAD STCarlinville, IL 62626-3710
Mailing Address1210 Washington StHighland, IL 62249-1925 · (186) 544-5206 · Fax (618) 654-1063
Phone(217) 854-3141
Sole ProprietorYes
Enumeration DateJuly 19, 2010
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1679886675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209031892
20733 N BROAD ST, Carlinville, IL 62626
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1110 W Saint Louis StLebanon, IL 62254-1559 · Phone (618) 654-4520
Location 21210 Washington StHighland, IL 62249-1925 · Phone (618) 654-4520 · Fax (618) 654-1063

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake William Randles D.c. 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Blake Randles reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carlinville Area Hospital Association
Same address
Critical Access
20733 NORTH BROAD STREET
Carlinville, IL 62626
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1932275641 (Illinois)
  • 86 clinicians in this Medicare group
NPI 1053425124 (217) 854-3857
Hillsboro Area Hospital, Inc.
24 mi
Critical Access
1200 E TREMONT ST
Hillsboro, IL 62049
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1821078213 (Illinois)
  • 59 clinicians in this Medicare group
NPI 1194705210 (217) 532-6111
Hshs Holy Family Hospital Inc
37 mi
Obstetrics & Gynecology
150 HEALTHCARE DRIVE
Greenville, IL 62246
  • Reassigned Medicare billing, Illinois enrollment
  • 42 clinicians in this Medicare group
NPI 1992889125 (618) 664-9830
St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F
39 mi
Critical Access
12866 TROXLER AVE
Highland, IL 62249
  • Reassigned Medicare billing, Illinois enrollment
  • 48 clinicians in this Medicare group
NPI 1447352323 (618) 654-7421
Alvarado Healthcare LLC
40 mi
Chiropractor
1210 WASHINGTON ST
Highland, IL 62249
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1326553835 (618) 654-4520
Lebanon Healthcare LLC
48 mi
Chiropractor
110 W SAINT LOUIS ST
Lebanon, IL 62254
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1427892090 (618) 654-4520

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

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
140 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62626 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 16

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

MACOUPIN PHYSICIAN SERVICES, PC
Hospitalist
20733 N BROAD ST
CARLINVILLE, IL 62626
Macoupin County (217) 854-3141
MRS. SHONA JO QUICK FNP
Nurse Practitioner (Family)
20733 N BROAD ST
CARLINVILLE, IL 62626
Macoupin County (217) 854-3141
DR. META JO FLOYD BSPHARM PHARMD
Pharmacist
20733 N BROAD ST
CARLINVILLE, IL 62626
Macoupin County (217) 854-3141
CARRIE DOWNS PT
Physical Therapist
20733 N BROAD ST
CARLINVILLE, IL 62626
Macoupin County (217) 854-3141
MICHAEL GLEASON MD
Family Medicine
20733 N BROAD ST
CARLINVILLE, IL 62626
Macoupin County (217) 854-3141
REBBECCA CAMERER NP
Nurse Practitioner (Family)
20733 N BROAD ST
CARLINVILLE, IL 62626
Macoupin County (217) 854-3141
MRS. JANE B REICHMANN P.T.
Physical Therapist
20733 N BROAD ST
CARLINVILLE, IL 62626
Macoupin County (217) 854-3141
CARLINVILLE AREA HOSPITAL ASSOCIATION
General Acute Care Hospital (Critical Access)
20733 N BROAD ST
CARLINVILLE, IL 62626
Macoupin County (217) 854-3141

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 Blake Randles's NPI number?

The NPI number for Blake Randles is 1679886675. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Blake Randles located?

Blake Randles practices at 20733 N Broad St, Carlinville, IL 62626. The listed phone number is (217) 854-3141.

What is Blake Randles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Blake Randles enrolled in Medicare?

Yes. Blake Randles is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Blake Randles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Randles reassigns Medicare benefits to 6 organizations: Carlinville Area Hospital Association (Carlinville, IL), Hillsboro Area Hospital, Inc. (Hillsboro, IL), Hshs Holy Family Hospital Inc (Greenville, IL), St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F (Highland, IL), Alvarado Healthcare LLC (Highland, IL) and 1 more organization, listed in the Medicare section above. 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 Blake Randles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Randles accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Blake Randles 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 Blake Randles was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.