JOVAN MONIQUE RANDALL
NPI 1962805952
Nurse Practitioner - Family in Granbury, TX

Q: What is Jovan Randall's NPI number?

The NPI number for Jovan Randall is 1962805952. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Q: What is Jovan Randall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jovan Randall was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 03, 2014PECOS Enrolled

112 MAVERICK CT, GRANBURY, TX 76049(985) 215-9041 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2025, Dec 7, 2022, Oct 26, 2018 and 1 more (4 updates tracked since 2015).

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About Jovan Monique Randall NPPES

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

JOVAN MONIQUE RANDALL (NPI 1962805952) is an individual family provider in Granbury, Texas, licensed in Texas (AP137273) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962805952

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJOVAN MONIQUE RANDALL

Location Address112 MAVERICK CTGranbury, TX 76049-1381

Mailing Address195 Page Mill Rd Ste 103Palo Alto, CA 94306-2073 · (985) 215-9041

Phone(985) 215-9041

Sole ProprietorNo

Enumeration DateOctober 3, 2014

Last NPPES UpdateMarch 24, 20254 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1962805952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TX · AP137273✔ Licensed in CA · 95034690✔ Licensed in FL · TPAN3168

112 MAVERICK CT, Granbury, TX 76049

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Secondary Practice Locations 3

Location 18754 Spring Cypress RdSpring, TX 77379-3135 · Phone (985) 215-9041

Location 2195 Page Mill Rd Ste 103Palo Alto, CA 94306-2073 · Phone (985) 215-9041

Location 3111 N Orange Ave Ste 800Orlando, FL 32801-2381 · Phone (888) 731-8994

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jovan Monique Randall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Jovan Randall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa Of Texas PLLC

30 mi

Family Medicine

1301 W 7TH ST, STE 121
Fort Worth, TX 76102

Reassigned Medicare billing, Texas enrollment
802 clinicians in this Medicare group

NPI 1205165875 (817) 348-0425

Minuteclinic Diagnostic Of Texas PLLC

133 mi

Family

1855 GATTIS SCHOOL RD
Round Rock, TX 78664

Reassigned Medicare billing, Texas enrollment
493 clinicians in this Medicare group

NPI 1609076330 (866) 389-2727

Ch Specialty Services Tx PLLC

148 mi

Family

800 W 5TH ST
Austin, TX 78703

Reassigned Medicare billing, Texas enrollment
234 clinicians in this Medicare group

NPI 1306225701 (337) 991-9276

Siskiyou Hospital, Inc.

1,515 mi

Critical Access

444 BRUCE ST
Yreka, CA 96097

Reassigned Medicare billing, California enrollment
140 clinicians in this Medicare group

NPI 1093892275 (530) 842-4121

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 6

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

137 services94 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

127 services81 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

57 services37 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

39 services30 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

24 services22 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76049 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

TRICIA DAWN BEISCH NP

Nurse Practitioner (Women's Health)