CRISTA RANDOL FNP-C
NPI 1689226797
Nurse Practitioner in Fort Wayne, IN
About Crista Randol Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRISTA RANDOL FNP-C (NPI 1689226797) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71009114A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crista Randol Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Crista Randol reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
London, KY 40741
- Reassigned Medicare billing, Kentucky enrollment
- 362 clinicians in this Medicare group
Franklin, KY 42134
- Reassigned Medicare billing, Kentucky enrollment
- 427 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 46804 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.
FORT WAYNE, IN 46804
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 Crista Randol's NPI number?
The NPI number for Crista Randol is 1689226797. It was assigned to this individual provider in the NPPES registry on July 10, 2019.
Where is Crista Randol located?
Crista Randol practices at 7333 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 458-3825.
What is Crista Randol's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Crista Randol enrolled in Medicare?
Yes. Crista Randol is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Crista Randol's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crista Randol reassigns Medicare benefits to 2 organizations: Brock Medical, LLC (London, KY) and Fast Pace Kentucky PLLC (Franklin, KY). 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 Crista Randol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Crista Randol was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Crista Randol, FNP-C · NPI 1689226797
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since July 10, 2019.
## Identity
- **NPI:** 1689226797 (Entity type: Individual)
- **Enumerated:** July 10, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71009114A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 7333 W JEFFERSON BLVD, Fort Wayne, IN 46804-6280
- **Phone:** (260) 458-3825
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Brock Medical, LLC (NPI 1023379815, London, KY); Fast Pace Kentucky PLLC (NPI 1457716706, Franklin, KY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1689226797) · Data from the CMS NPPES public registry.