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RANDALL M. STONE NP
NPI 1710463088
Nurse Practitioner in Beaver Dam, WI

Active since July 19, 2018PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
705 S UNIVERSITY AVE STE 200, BEAVER DAM, WI 53916(920) 887-9272(920) 885-4752 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2025, Jan 11, 2021, Jul 19, 2018 (3 updates tracked since 2018).

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 Fort Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710463088
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRANDALL M. STONECredential: NP
Location Address705 S UNIVERSITY AVE STE 200Beaver Dam, WI 53916-3079
Mailing AddressN2680 Sleepy Hollow RdNeosho, WI 53059-9776
Phone(920) 887-9272
Fax(920) 885-4752
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 19, 2018
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1710463088 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 WI · 8504-33
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.
705 S UNIVERSITY AVE STE 200, Beaver Dam, WI 53916
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and more.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

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.

PECOS PAC ID5395093447
PECOS Enrollment IDI20250806004491
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
266 services183 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
82 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services65 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
65 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

DR. MARC BERNARD GLADDEN II D.O.
Internal Medicine
705 S UNIVERSITY AVE STE 200
BEAVER DAM, WI 53916
Dodge County (920) 887-9272
EMILY PETERSON MD
Family Medicine
705 S UNIVERSITY AVE STE 200
BEAVER DAM, WI 53916
Dodge County (920) 887-9272
DENA L PIECHOWSKI NP
Nurse Practitioner (Primary Care)
705 S UNIVERSITY AVE STE 200
BEAVER DAM, WI 53916
Dodge County (920) 887-9272
ARIANNA LANAE WICHMAN
Physician Assistant (Medical)
705 S UNIVERSITY AVE STE 200
BEAVER DAM, WI 53916
Dodge County (920) 887-9272
JAKE CARPENTER QUINN PA-C, MSPAS
Physician Assistant (Medical)
705 S UNIVERSITY AVE STE 200
BEAVER DAM, WI 53916
Dodge County (920) 887-9272

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.

What insurance does Randall Stone accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Medica 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 Fort Memorial Hospital and 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 10 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.