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MRS. AMANDA LUCILLE RANDOLPH APRN
NPI 1821749540
Nurse Practitioner - Family in Lakeland, FL

Active since January 13, 2022PECOS Enrolled
3037 LAKELAND HILLS BLVD STE 7A, LAKELAND, FL 33805(863) 860-4500 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2024, May 18, 2022, Jan 13, 2022 (3 updates tracked since 2022).

About Mrs. Amanda Lucille Randolph Aprn NPPES

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

MRS. AMANDA LUCILLE RANDOLPH APRN (NPI 1821749540) is an individual family provider in Lakeland, Florida, licensed in Florida (APRN11017054) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821749540
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMANDA LUCILLE RANDOLPHCredential: APRN
Location Address3037 LAKELAND HILLS BLVD STE 7ALakeland, FL 33805-2225
Mailing Address12596 Us Highway 98 NLakeland, FL 33809-1089 · (863) 860-4500
Phone(863) 860-4500
Sole ProprietorYes
Enumeration DateJanuary 13, 2022
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1821749540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11017054
3037 LAKELAND HILLS BLVD STE 7A, Lakeland, FL 33805
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amanda Lucille Randolph Aprn 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 33805 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDOLPH'S FAMILY HEALTH AND WELLNESS
Nurse Practitioner (Family)
3037 LAKELAND HILLS BLVD STE 7A
LAKELAND, FL 33805
Polk County (863) 860-4500
MRS. KANDY LOUISE HAHN APRN FNP-C
Nurse Practitioner (Family)
3037 LAKELAND HILLS BLVD STE 7A
LAKELAND, FL 33805
Polk County (863) 333-0032

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 Amanda Randolph's NPI number?

The NPI number for Amanda Randolph is 1821749540. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Amanda Randolph located?

Amanda Randolph practices at 3037 Lakeland Hills Blvd Ste 7A, Lakeland, FL 33805. The listed phone number is (863) 860-4500.

What is Amanda Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Randolph enrolled in Medicare?

Yes. Amanda Randolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Randolph was last updated on April 22, 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.