MS. LAUREN BROOKE RANDALL (CAA) – Anesthesiologist Assistant, NPI 1114961695
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
936 ANESTHESIOLOGY ASSISTANT in FL
Provider Addresses for MS. LAUREN BROOKE RANDALL (CAA)
15605 Hampton Village Dr
Tampa, FL 336181616
Phone: (724) 544-8684
Type: Location
15605 HAMPTON VILLAGE DR
TAMPA, FL 336181616
Phone: (724) 544-8684
Type: Mailing
H. Lee Moffitt Cancer Center, 12902, USF Magnolia Drive, Tampa, Hillsborough County, Florida, 33612, United States
ANESTHESIA; MOFFITT CANCER CENTER
TAMPA, FL 36612
Phone: (813) 754-8750
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070305000613 | I | Anesthesiology Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 01112 | Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone | 20 | 20 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 14 | 14 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 14 | 14 | $0 |
Insurance plans in this area (ZIP 33618)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | FL | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| - | FL |
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