RANDALL M. STONE NP
NPI 1710463088
Nurse Practitioner in Beaver Dam, WI
About Randall M. Stone Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDALL M. STONE NP (NPI 1710463088) is an individual nurse practitioner in Beaver Dam, Wisconsin, licensed in Wisconsin (8504-33) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Randall M. Stone 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.
Medicare Billing Reassignment
Medicare enrollment records show Randall Stone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Prescott Valley, AZ 86314
- Reassigned Medicare billing, Arizona enrollment
- 822 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center - Beaver Dam (mmc-Bd)
Acute Care Hospitals · Beaver Dam, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
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 Randall Stone's NPI number?
The NPI number for Randall Stone is 1710463088. It was assigned to this individual provider in the NPPES registry on July 19, 2018.
Where is Randall Stone located?
Randall Stone practices at 705 S University Ave Ste 200, Beaver Dam, WI 53916. The listed phone number is (920) 887-9272.
What is Randall Stone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Randall Stone enrolled in Medicare?
Yes. Randall Stone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Randall Stone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Stone reassigns Medicare benefits to Honorhealth Ambulatory (Prescott Valley, AZ). The 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 Randall Stone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Stone accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Randall Stone 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.
Is Randall Stone affiliated with any hospitals?
According to CMS data, Randall Stone is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd).
When was this NPI record last updated?
The NPPES record for Randall Stone was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.