RANDALL OKOLICHANY (PA-C) – Athletic Trainer, NPI 1649686486

RANDALL OKOLICHANY (PA-C) is a healthcare provider. based in North palm beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9113556 (FL). The NPI Number for RANDALL OKOLICHANY (PA-C) is 1649686486

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL OKOLICHANY (PA-C)
NPI
1649686486
Phone
(561) 840-1090
Address
733 US 1
Enumeration Date
1 July 2014
Last Update Date
14 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
8628498995
Professional Enrollment ID
I20201027000502
Address ID
FL334085173NO417XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for RANDALL OKOLICHANY (PA-C)

  • 733 US 1

    NORTH PALM BEACH, FL 334084513

    Phone: (561) 840-1090

    Type: Location

  • 417 NORTHLAKE DR

    NORTH PALM BEACH, FL 334085173

    Phone:

    Type: Mailing

  • 1372 SW KNOLLWOOD DR

    PALM CITY, FL 349901919

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,778.

Total Amount is formed as General ($1,778) + Research ($0) + Ownership ($0) = $1,778.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Stryker Corporation ($1,368).

Total Amount

$1,778

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,778

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201027000502IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33408)

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Reviews

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Frequently asked questions

Is RANDALL OKOLICHANY (PA-C) listed with a National Provider Identifier?
Yes — RANDALL OKOLICHANY (PA-C) has NPI 1649686486 on file in the registry.
Would RANDALL OKOLICHANY (PA-C) appear as active to a payer?
You can treat RANDALL OKOLICHANY (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for RANDALL OKOLICHANY (PA-C)?
At a glance, RANDALL OKOLICHANY (PA-C) is tied to Athletic Trainer. Clinical services aligned with this taxonomy classification.
Where in Florida is RANDALL OKOLICHANY (PA-C) registered?
Use North Palm Beach, Florida as the headline location for RANDALL OKOLICHANY (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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