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CRISTA RANDOL FNP-C
NPI 1689226797
Nurse Practitioner in Fort Wayne, IN

Active since July 10, 2019PECOS Enrolled
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 458-3825 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1689226797
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCRISTA RANDOLCredential: FNP-C
Location Address7333 W JEFFERSON BLVDFort Wayne, IN 46804-6280
Mailing Address8210 Surrey CtFort Wayne, IN 46815-8777 · (260) 450-9535
Phone(260) 458-3825
Sole ProprietorNo
Enumeration DateJuly 10, 2019
✔ NPI 1689226797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71009114A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7333 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crista Randol Fnp-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.

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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

ROLAND STUCKEY MD
Family Medicine
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
DANIELLE PACELLA PA-C
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
MELISSA SUE PARNIN APRN
Nurse Practitioner (Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
AUTUMNE BERGHOFF PA-C
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
MEGAN ANNE KEATING PA
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 458-3830
KIMBERLY B CROMP
Nurse Practitioner (Adult Health)
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7334
KIMBERLY A. BURNS NP
Nurse Practitioner (Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7334
AMBER APPLE NURSE PRACTITIONER
Nurse Practitioner (Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7839

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.

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.