KYLE L RANDLE – Adult Health Nurse Practitioner, NPI 1417326729

KYLE L RANDLE is a healthcare provider. based in Long grove, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209012746 (IL). The NPI Number for KYLE L RANDLE is 1417326729

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KYLE L RANDLE
NPI
1417326729
Phone
(847) 719-2220
Address
3880 SALEM LAKE DR STE F
Enumeration Date
16 September 2015
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
8888240200
Graduation Year
2014 (12 years ago)
PAC ID
1052695111
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20170309000961
Address ID
IL606371443CH5841XAVEX400

Contacts

Secure Messaging
krandle202800@uchospital.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KYLE L RANDLE

  • 3880 SALEM LAKE DR STE F

    LONG GROVE, IL 600475292

    Phone: (847) 719-2220

    Fax: (847) 719-2265

    Type: Mailing

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (888) 824-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

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: 2017-03-09

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
I20170309000961INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99238Hospital discharge day management, 30 minutes or less5145$0
View full utilization report →

Insurance plans in this area (ZIP 60047)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Is KYLE L RANDLE listed with a National Provider Identifier?
Yes — KYLE L RANDLE has NPI 1417326729 on file in the registry.
Active or inactive — what applies to KYLE L RANDLE?
You should see KYLE L RANDLE as active in CMS-hosted NPPES data.
What kind of doctor is KYLE L RANDLE?
KYLE L RANDLE is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is KYLE L RANDLE registered?
Use Long Grove, Illinois as the headline location for KYLE L RANDLE here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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