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

Q: 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.

Q: What is Blake Randles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blake Randles was last updated on April 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

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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

Medicare Participation & PECOS CMS

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

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.

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.