SYDNEY LANELL RANDALL AGACNP
NPI 1720678808
Nurse Practitioner in Fort Sam Houston, TX

Active since January 21, 2021PECOS Enrolled
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(301) 925-2900(706) 868-8375 Get Directions Write a Review

NPPES record last updated: January 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2021, Sep 15, 2021, Jan 21, 2021 (3 updates tracked since 2021).

About Sydney Lanell Randall Agacnp NPPES

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

SYDNEY LANELL RANDALL AGACNP (NPI 1720678808) is an individual nurse practitioner in Fort Sam Houston, Texas, licensed in Texas (1019049) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720678808
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSYDNEY LANELL RANDALLCredential: AGACNP
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing AddressPo Box 12187Augusta, GA 30914-2187 · (706) 863-9595 · Fax (706) 868-8375
Fax(706) 868-8375
Sole ProprietorYes
Enumeration DateJanuary 21, 2021
Last NPPES UpdateJanuary 21, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2024
NPI 1720678808 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 TX · 1019049
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.
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Other Identifiers 1

MedicaidGR2705878TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sydney Lanell Randall Agacnp 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 78234 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Sydney Randall's NPI number?

The NPI number for Sydney Randall is 1720678808. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Sydney Randall located?

Sydney Randall practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (301) 925-2900.

What is Sydney Randall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sydney Randall enrolled in Medicare?

Yes. Sydney Randall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sydney Randall was last updated on January 21, 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.