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MR. RANDALL LEE COFFMAN NP
NPI 1962015420
Nurse Practitioner in Charlotte, NC

Active since August 25, 2020PECOS EnrolledAccepts Medicare Assignment
10905 PROVIDENCE RD W, SUITE G200, CHARLOTTE, NC 28277(980) 488-4900(980) 488-4905 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2023, Jun 14, 2021, Jan 13, 2021 and 2 more (5 updates tracked since 2020).

About Mr. Randall Lee Coffman Np NPPES

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

MR. RANDALL LEE COFFMAN NP (NPI 1962015420) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5013564) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962015420
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. RANDALL LEE COFFMANCredential: NP
Location Address10905 PROVIDENCE RD W, SUITE G200Charlotte, NC 28277-1538
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 488-4900 · Fax (980) 488-4905
Phone(980) 488-4900
Fax(980) 488-4905
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 25, 2020
Last NPPES UpdateMay 22, 20235 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1962015420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5013564
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5013564 (NC)
10905 PROVIDENCE RD W, Charlotte, NC 28277
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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

Mr. Randall Lee Coffman 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.

PECOS PAC ID3375963960
PECOS Enrollment IDI20201020004525
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.

Hospital Affiliations CMS Care Compare 3

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number340195
Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 11

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

MELISSA ANNE BENSON AGPCNP
Nurse Practitioner
10905 PROVIDENCE RD W, STE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900
DR. JAKE HAMILTON BAYLESS DO
Hospitalist
10905 PROVIDENCE RD W, STE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900
SARAH KATHRYN BAGLEY PA-C
Physician Assistant
10905 PROVIDENCE RD W, STE 270
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-3410
PEARL OPOKUA NYANOR NP
Nurse Practitioner
10905 PROVIDENCE RD W, SUITE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900
MR. LUIS MARIO ARMADA JR. FNP-C
Nurse Practitioner
10905 PROVIDENCE RD W
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-6478
MS. AUTUMN DAWN WILLIAMS APRN
Nurse Practitioner
10905 PROVIDENCE RD W, STE 150
CHARLOTTE, NC 28277
Mecklenburg County (980) 302-7120
BERITA BANDA
Student in an Organized Health Care Education/Training Program
10905 PROVIDENCE RD W, WOMENS SERVICES
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4000
NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
General Acute Care Hospital
10905 PROVIDENCE RD W
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4000

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 Randall Coffman's NPI number?

The NPI number for Randall Coffman is 1962015420. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Randall Coffman located?

Randall Coffman practices at 10905 Providence Rd W Suite G200, Charlotte, NC 28277. The listed phone number is (980) 488-4900.

What is Randall Coffman's specialty?

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

Is Randall Coffman enrolled in Medicare?

Yes. Randall Coffman 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.

What insurance does Randall Coffman accept?

Health plans from Blue Cross and Blue Shield of NC list Randall Coffman 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 Randall Coffman affiliated with any hospitals?

According to CMS data, Randall Coffman is affiliated with Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center and Novant Health Ballantyne Medical Center.

When was this NPI record last updated?

The NPPES record for Randall Coffman was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.