MS. JAYLYN DENISE RANDLES CPSW, CHW
NPI 1962269118
Community Health Worker in Gallup, NM

Active since March 04, 2024PECOS Enrolled
2111 COLLEGE DR, GALLUP, NM 87301(505) 879-5655 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 29, 2025, Jul 24, 2024, Mar 4, 2024 (3 updates tracked since 2024).

About Ms. Jaylyn Denise Randles Cpsw, Chw NPPES

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

MS. JAYLYN DENISE RANDLES CPSW, CHW (NPI 1962269118) is an individual community health worker in Gallup, New Mexico, licensed in New Mexico (S3-1615) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962269118
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameMS. JAYLYN DENISE RANDLESCredential: CPSW, CHW
Location Address2111 COLLEGE DRGallup, NM 87301-5600
Mailing Address2111 College DrGallup, NM 87301-5600 · (505) 879-5655
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 4, 2024
Last NPPES UpdateMay 29, 20253 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
NPI 1962269118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
License Licensed in NM · S3-1615
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedPeer SpecialistTaxonomy 175T00000X · License 1456 (NM)
Also ListedDoulaTaxonomy 374J00000X · License 0019-2025 (NM)
2111 COLLEGE DR, Gallup, NM 87301

Other Names 1

Former Name (1)Jaylyn Denise Ellis Cpsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Jaylyn Denise Randles Cpsw, Chw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850873043
PECOS Enrollment IDI20260305004230
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.

Other Providers at the Same Location NPPES 20

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

Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301

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 Jaylyn Randles's NPI number?

The NPI number for Jaylyn Randles is 1962269118. It was assigned to this individual provider in the NPPES registry on March 4, 2024. The provider is also known as Jaylyn Denise Ellis Cpsw.

Where is Jaylyn Randles located?

Jaylyn Randles practices at 2111 College Dr, Gallup, NM 87301. The listed phone number is (505) 879-5655.

What is Jaylyn Randles's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

Is Jaylyn Randles enrolled in Medicare?

Yes. Jaylyn Randles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaylyn Randles was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.