RANDI LYNNE MORELAND PA-C
NPI 1891213658
Physician Assistant in Belleville, IL

Q: What is Randi Moreland's NPI number?

The NPI number for Randi Moreland is 1891213658. It was assigned to this individual provider in the NPPES registry on August 31, 2017. The provider is also known as Randi Lynne Irby Pa-C.

Q: What is Randi Moreland's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Randi Moreland was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 31, 2017PECOS EnrolledAccepts Medicare Assignment

4315 MEMORIAL DR, BELLEVILLE, IL 62226(314) 996-7014(314) 273-0140 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Jul 19, 2021, Aug 31, 2017 (3 updates tracked since 2017).

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About Randi Lynne Moreland Pa-c NPPES

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

RANDI LYNNE MORELAND PA-C (NPI 1891213658) is an individual physician assistant in Belleville, Illinois, licensed in Illinois (085006651) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Frontenac, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1891213658

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameRANDI LYNNE MORELANDCredential: PA-C

Location Address4315 MEMORIAL DRBelleville, IL 62226-5342

Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (314) 996-7014 · Fax (314) 273-0140

Phone(314) 996-7014

Fax(314) 273-0140

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 31, 2017

Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1891213658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085006651✔ Licensed in FL · PAT9110595✔ Licensed in MO · 2018038670

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4315 MEMORIAL DR, Belleville, IL 62226

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Other Names 1

Former Name (1)Randi Lynne Irby Pa-c

Secondary Practice Location 1

Location 110435 Clayton RdFrontenac, MO 63131-2931 · Phone (314) 985-3002 ext. 121 · Fax (314) 985-3012

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

Randi Lynne Moreland Pa-c 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 ID2567716855

PECOS Enrollment IDI20181127001007, I20231024000407

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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

842 services237 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

500 services189 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

211 services132 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

198 services173 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

130 services64 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

91 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 9

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

MICHELLE M BURK DO

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