MR. RANDOL BROWN (ARNP) – Family Nurse Practitioner, NPI 1134738172

MR. RANDOL BROWN (ARNP) is a healthcare provider. based in Richmond, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 61087945 (WA). The NPI Number for MR. RANDOL BROWN (ARNP) is 1134738172

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDOL BROWN (ARNP)
NPI
1134738172
Phone
(859) 353-8884
Address
103 KEYSTONE DR
Enumeration Date
27 July 2020
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593538884
Graduation Year
2019 (7 years ago)
PAC ID
3173931235
Group Practice PAC ID
4183983547
Professional Enrollment ID
I20260305003413
Address ID
KY404757988RI103XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MR. RANDOL BROWN (ARNP)

  • 103 KEYSTONE DR

    RICHMOND, KY 404757988

    Phone: (859) 353-8884

    Type: Location

  • 10200 NE 132ND ST

    KIRKLAND, WA 980342831

    Phone: (859) 302-0110

    Type: Location

  • 210 MALLORY SPG

    BEREA, KY 404039653

    Phone: (859) 302-0110

    Type: Mailing

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: 2026-03-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260305003413INurse PractitionerKYTBD

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 40475)

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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: 4183983547View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Emergency Medicine, Family PracticeKY
Physician AssistantKY

Reviews

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Frequently asked questions

What is the registry number for MR. RANDOL BROWN (ARNP)?
The registry entry for MR. RANDOL BROWN (ARNP) shows NPI 1134738172.
Quick check: is MR. RANDOL BROWN (ARNP) active?
Public NPPES data shows MR. RANDOL BROWN (ARNP) with an active NPI status right now.
Which specialty label fits MR. RANDOL BROWN (ARNP)?
NPPES ties MR. RANDOL BROWN (ARNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. RANDOL BROWN (ARNP) tied to Richmond, Kentucky?
If you are local to Richmond, Kentucky, MR. RANDOL BROWN (ARNP) may be relevant to your search.
Why is information missing for MR. RANDOL BROWN (ARNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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