MRS. RANDI D BRAGG NP
NPI 1700420031
Nurse Practitioner - Family in Marion, IN

Q: What is Randi Bragg's NPI number?

The NPI number for Randi Bragg is 1700420031. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

Q: What is Randi Bragg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Randi Bragg was last updated on February 15, 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.

Active since October 30, 2019PECOS EnrolledAccepts Medicare Assignment

925 S NEBRASKA ST, MARION, IN 46953(765) 664-7492(764) 400-4466 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 24, 2023, Dec 27, 2022, Oct 30, 2019 (3 updates tracked since 2019).

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About Mrs. Randi D Bragg Np NPPES

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

MRS. RANDI D BRAGG NP (NPI 1700420031) is an individual family provider in Marion, Indiana, licensed in Indiana (71009509A) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700420031

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. RANDI D BRAGGCredential: NP

Location Address925 S NEBRASKA STMarion, IN 46953-1874

Mailing Address8003 Castleway DrIndianapolis, IN 46250-1946 · (317) 576-1335 · Fax (844) 397-1311

Phone(765) 664-7492

Fax(764) 400-4466

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 30, 2019

Last NPPES UpdateFebruary 15, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2024

✔ NPI 1700420031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71009509A

925 S NEBRASKA ST, Marion, IN 46953

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Other Identifiers 1

Medicaid300033704IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Randi D Bragg Np 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.

PECOS PAC ID8224420922

PECOS Enrollment IDI20220107002080

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion General Hospital

Acute Care Hospitals · Marion, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150011

Location441 N Wabash AveMarion, IN 46952 · Grant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46953 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 7

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

DR. PHILIP R RENFROE MD

Family Medicine