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MRS. KELLEY M RANDOLPH APRN
NPI 1942863915
Nurse Practitioner in Topeka, KS

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
2655 SW WANAMAKER RD STE H, TOPEKA, KS 66614(785) 408-5228(785) 783-8026 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2024, Jul 27, 2023, Apr 16, 2019 (3 updates tracked since 2019).

About Mrs. Kelley M Randolph Aprn NPPES

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

MRS. KELLEY M RANDOLPH APRN (NPI 1942863915) is an individual nurse practitioner in Topeka, Kansas, licensed in Kansas (80032) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Stormont Vail Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1942863915
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KELLEY M RANDOLPHCredential: APRN
Location Address2655 SW WANAMAKER RD STE HTopeka, KS 66614-4477
Mailing Address2655 Sw Wanamaker Rd Ste HTopeka, KS 66614-4477 · (785) 354-9591 · Fax (785) 783-8026
Phone(785) 408-5228
Fax(785) 783-8026
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 16, 2019
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1942863915 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 KS · 80032
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.
2655 SW WANAMAKER RD STE H, Topeka, KS 66614
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Mrs. Kelley M Randolph Aprn 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 ID941539670
PECOS Enrollment IDI20210722000375
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 Reassignments

5

Medicare enrollment records show Kelley Randolph reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midland Care Physician Services LLC
Same address
Multi-Specialty
2655 SW WANAMAKER RD STE H
Topeka, KS 66614
  • Reassigned Medicare billing, Kansas enrollment
  • 6 clinicians in this Medicare group
NPI 1194448548 (785) 408-5228
Ps127 & jn434, LLC
Same address
Family Medicine
2655 SW WANAMAKER RD STE H
Topeka, KS 66614
  • Reassigned Medicare billing, Kansas enrollment
  • 8 clinicians in this Medicare group
NPI 1134420821 (785) 408-5228
Cotton O'neil Clinic Recovable Trust
3.5 mi
Psychiatry
3707 SW 6TH AVE
Topeka, KS 66606
  • Reassigned Medicare billing, Kansas enrollment
  • Medicare enrollment name: Cotton-O'neil Clinic Revocable Trust
  • 854 clinicians in this Medicare group
NPI 1245390251 (785) 270-4600
Uk St Francis Urgent Care
3.8 mi
Urgent Care
1101 SW 29TH ST
Topeka, KS 66611
  • Reassigned Medicare billing, Kansas enrollment
  • 41 clinicians in this Medicare group
NPI 1457970782 (785) 596-6088
Gracemed Health Clinic Inc
125 mi
Federally Qualified Health Center (FQHC)
1122 N TOPEKA ST
Wichita, KS 67214
  • Reassigned Medicare billing, Kansas enrollment
  • 100 clinicians in this Medicare group
NPI 1184691693 (316) 866-2000

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 10

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
156 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
138 services128 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services86 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
63 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
52 services50 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170086
Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66614 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 4

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

PS127&JN434, LLC
Family Medicine
2655 SW WANAMAKER RD STE H
TOPEKA, KS 66614
Shawnee County (785) 408-5228
MIDLAND CARE PHYSICIAN SERVICES LLC
Clinic/Center (Multi-Specialty)
2655 SW WANAMAKER RD STE H
TOPEKA, KS 66614
Shawnee County (785) 408-5228
DR. TIMOTHY LOUIS HESTON D.O.
Family Medicine
2655 SW WANAMAKER RD STE H
TOPEKA, KS 66614
Shawnee County (785) 408-5228
MS. ERIKA DIANE ALBRIGHT FNP
Nurse Practitioner (Family)
2655 SW WANAMAKER RD STE H
TOPEKA, KS 66614
Shawnee County (785) 408-5228

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 Kelley Randolph's NPI number?

The NPI number for Kelley Randolph is 1942863915. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Kelley Randolph located?

Kelley Randolph practices at 2655 SW Wanamaker Rd Ste H, Topeka, KS 66614. The listed phone number is (785) 408-5228.

What is Kelley Randolph's specialty?

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

Is Kelley Randolph enrolled in Medicare?

Yes. Kelley Randolph 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 Kelley Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Randolph reassigns Medicare benefits to 5 organizations: Midland Care Physician Services LLC (Topeka, KS), Ps127 & jn434, LLC (Topeka, KS), Cotton O'neil Clinic Recovable Trust (Topeka, KS), Uk St Francis Urgent Care (Topeka, KS) and Gracemed Health Clinic Inc (Wichita, KS). 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 Kelley Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Randolph accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Kelley Randolph 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.

Is Kelley Randolph affiliated with any hospitals?

According to CMS data, Kelley Randolph is affiliated with Stormont Vail Hospital.

When was this NPI record last updated?

The NPPES record for Kelley Randolph was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.