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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: November 08, 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
Phone(301) 925-2900
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
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR2705878TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sydney Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Burn And Reconstructive Centers Of Texas
264 mi
Surgery
3901 W 15TH ST
Plano, TX 75075
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1316325905 (706) 863-9595

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JANET JONES SIMS CRNA
Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (253) 223-6272
JAMES KENNEDY HARDIN PA-C
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Bexar County (210) 295-4996
DR. DANIEL VICTOR-CALVIN HAMMOND M.D.
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3020
JESSICA FULLER LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 808-1859
DR. JASON ROBERT HALL M.D.
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
MRS. KATHRYN ELAINE HELLAND LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
DR. HALWARD BLEGEN IV DO
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Bexar County (210) 220-7419
KOLE HOLLAND SPAULDING M.D.
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582

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.

Which organization bills Medicare for Sydney Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sydney Randall reassigns Medicare benefits to Burn And Reconstructive Centers Of Texas (Plano, TX). 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 Sydney Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.