HOLLY RANDALL (APRN) – Psychiatric/Mental Health Registered Nurse, NPI 1326124934
Psychiatric/Mental Health Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for HOLLY RANDALL (APRN)
PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom
LYNN, MA 01903
Phone: (781) 596-2502
Fax: (781) 596-3966
Type: Mailing
269, Union Street, Lynn, Essex County, Massachusetts, 01901, United States
LYNN, MA 01901
Phone: (781) 596-2502
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $154.
Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($95).
Total Amount
$154
General + Research + Ownership
Payments
4
Total payment records
General Amount
$154
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $95 |
| Janssen Pharmaceuticals, Inc | $58 |
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: 2024-03-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070514000581 | I | Certified Clinical Nurse Specialist (Cns) | MA | TBD |
| I20240315000972 | I | Nurse Practitioner | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| Family Practice | MA | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA | |
| Mental Health Counselor | MA | |
| Physician Assistant | MA | |
| Family Practice | PA |
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