MS. JAYLYN DENISE RANDLES CPSW, CHW
NPI 1962269118
Community Health Worker in Gallup, NM
NPI Status: Active since March 04, 2024
Contact Information
2111 COLLEGE DR
GALLUP, NM
ZIP 87301
Phone: (505) 879-5655
NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.
Record update history: May 29, 2025, Jul 24, 2024, Mar 4, 2024 (3 updates tracked since 2024).
- Individual
- Female
- Years of Experience 3
- Community Health Worker
- May Accept Medicare Approved Payment
- PECOS Enrolled
About JAYLYN RANDLES
This page provides the complete NPI Profile along with additional information for Jaylyn Randles, a provider established in Gallup, New Mexico with a medical specialization in Community Health Worker and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1962269118 assigned on March 2024. The practitioner's primary taxonomy code is 172V00000X with license number S3-1615 (NM). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1962269118
- Provider Name
- MS. JAYLYN DENISE RANDLES CPSW, CHW
- Other Name
- JAYLYN DENISE ELLIS CPSW
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2111 COLLEGE DR GALLUP, NM 87301
- Location Phone
- (505) 879-5655
- Mailing Address
- 2111 COLLEGE DR GALLUP, NM 87301
- Mailing Phone
- (505) 879-5655
- Medical School Name
- OTHER
- Graduation Year
- 2024
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-04-2024
- Last Update Date
- 05-29-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Health Worker
- Taxonomy Code
- 172V00000X
- Type
- Other Service Providers
- License No.
- S3-1615
- License State
- NM
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 175T00000X | Other Service Providers | Peer Specialist | 1456 (NM) |
| 2 | 374J00000X | Nursing Service Related Providers | Doula | 0019-2025 (NM) |
Medicare Participation & PECOS Enrollment Status
Jaylyn Randles is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Jaylyn Randles is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1850873043
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20260305004230
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MS. JAYLYN DENISE RANDLES CPSW, CHW
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962269118, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GALLUP, NM 87301
GALLUP, NM 87301
GALLUP, NM 87301
GALLUP, NM 87301
GALLUP, NM 87301
GALLUP, NM 87301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962269118, enumerated as an "individual" on March 04, 2024.
The provider is located at 2111 COLLEGE DR GALLUP, NM 87301 and the phone number is (505) 879-5655.
Community Health Worker with taxonomy code 172V00000X.
