MR. RANDALL EDWARD TINDLE (NP FNP) – Family Nurse Practitioner, NPI 1609368075

MR. RANDALL EDWARD TINDLE (NP FNP) is a healthcare provider. based in Chanute, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP FNP. They hold a License No. 5878231072 (KS). The NPI Number for MR. RANDALL EDWARD TINDLE (NP FNP) is 1609368075

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDALL EDWARD TINDLE (NP FNP)
NPI
1609368075
Phone
(620) 431-2500
Address
505 S PLUMMER AVE
Enumeration Date
1 June 2018
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6204312500
Graduation Year
2018 (8 years ago)
PAC ID
0345590725
Group Practice PAC ID
3870562879
Professional Enrollment ID
I20180905002849
Address ID
KS667201950CH505XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:8State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for MR. RANDALL EDWARD TINDLE (NP FNP)

  • 505 S PLUMMER AVE

    CHANUTE, KS 667201950

    Phone: (620) 431-2500

    Type: Mailing

  • Wilson Medical Center, 2600, Ottawa Road, Neodesha, Wilson County, Kansas, 66757, United States

    NEODESHA, KS 667571897

    Phone: (620) 325-2611

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $279.

Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($76).

Total Amount

$279

General + Research + Ownership

Payments

17

Total payment records

General Amount

$279

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2018-09-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180905002849INurse PractitionerKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes315249$0
81002Urinalysis, manual test3834$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3432$0
80053Blood test, comprehensive group of blood chemicals2928$0
87804Detection test by immunoassay with direct visual observation for influenza virus2613$0
View full utilization report →

Insurance plans in this area (ZIP 66720)

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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: 3870562879View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)KS
Clinical PsychologistKS
Physician AssistantKS
Mental Health CounselorKS
Family PracticeKS
Clinical PsychologistKS
-KS
Clinical Social WorkerCA
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is MR. RANDALL EDWARD TINDLE (NP FNP)'s NPI number?
MR. RANDALL EDWARD TINDLE (NP FNP)'s NPI is 1609368075 — the number used across U.S. healthcare to identify this provider.
Is MR. RANDALL EDWARD TINDLE (NP FNP) shown as active in public data?
Registry records indicate MR. RANDALL EDWARD TINDLE (NP FNP) maintains an active NPI.
What kind of doctor is MR. RANDALL EDWARD TINDLE (NP FNP)?
MR. RANDALL EDWARD TINDLE (NP FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. RANDALL EDWARD TINDLE (NP FNP)?
Directory geography for MR. RANDALL EDWARD TINDLE (NP FNP) centers on Chanute, Kansas.
Can I trust this NPI listing for MR. RANDALL EDWARD TINDLE (NP FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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