FARELON ELISE RANDLE NP
NPI 1730774290
Nurse Practitioner - Family in Starkville, MS
About Farelon Elise Randle Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FARELON ELISE RANDLE NP (NPI 1730774290) is an individual family provider in Starkville, Mississippi, licensed in Mississippi (905602) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Farelon Elise Randle 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 Reassignments
2Medicare enrollment records show Farelon Randle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Starkville, MS 39759
- Reassigned Medicare billing, Mississippi enrollment
- 38 clinicians in this Medicare group
West Point, MS 39773
- Reassigned Medicare billing, Mississippi enrollment
- 225 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STARKVILLE, MS 39759
STARKVILLE, MS 39759
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 Farelon Randle's NPI number?
The NPI number for Farelon Randle is 1730774290. It was assigned to this individual provider in the NPPES registry on March 6, 2021.
Where is Farelon Randle located?
Farelon Randle practices at 500 Russell St Ste 3, Starkville, MS 39759. The listed phone number is (662) 615-3400.
What is Farelon Randle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Farelon Randle enrolled in Medicare?
Yes. Farelon Randle 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 organizations bill Medicare for Farelon Randle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Farelon Randle reassigns Medicare benefits to 2 organizations: Golden Triangle Urgent Care LLC (Starkville, MS) and North Mississippi Medical Clinics Inc (West Point, MS). Each 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 Farelon Randle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Farelon Randle accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Farelon Randle 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.
When was this NPI record last updated?
The NPPES record for Farelon Randle was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Farelon Elise Randle, NP · NPI 1730774290
Family physician in Starkville, Mississippi. Individual provider, active in the CMS NPPES registry since March 6, 2021.
## Identity
- **NPI:** 1730774290 (Entity type: Individual)
- **Enumerated:** March 6, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 905602 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 RUSSELL ST STE 3, Starkville, MS 39759-5411
- **Phone:** (662) 615-3400 · **Fax:** (662) 615-3405
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Golden Triangle Urgent Care LLC (NPI 1346592045, Starkville, MS); North Mississippi Medical Clinics Inc (NPI 1588769970, West Point, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730774290) · Data from the CMS NPPES public registry.