RACHELLE RANDALL (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1558855155

RACHELLE RANDALL (DPM) is a healthcare provider. based in Wayne, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901400467 (MI). The NPI Number for RACHELLE RANDALL (DPM) is 1558855155

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
RACHELLE RANDALL (DPM)
NPI
1558855155
Phone
Not provided
Address
33155 ANNAPOLIS ST
Enumeration Date
18 June 2018
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3136473900
Graduation Year
2018 (8 years ago)
PAC ID
6204239528
Group Practice PAC ID
0648180406
Professional Enrollment ID
I20230519002042
Address ID
MI480441161MA17900RDXX4**
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

753 PODIATRY in MI

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Provider Addresses for RACHELLE RANDALL (DPM)

  • Beaumont Hospital, Wayne, 33155, Annapolis Street, Wayne, Wayne County, Michigan, 48184, United States

    WAYNE, MI 481842405

    Phone:

    Type: Mailing

  • 1107 STONE ST STE 3

    PORT HURON, MI 480603569

    Phone: (810) 204-4494

    Fax: (810) 479-9640

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $3,762.

Total Amount is formed as General ($3,762) + Research ($0) + Ownership ($0) = $3,762.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,153).

Total Amount

$3,762

General + Research + Ownership

Payments

44

Total payment records

General Amount

$3,762

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2023-05-19

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
I20230519002042IPodiatryMITBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
11721Removal of fingernails or toenails, 6 or more nails1212$0
View full utilization report →

Insurance plans in this area (ZIP 48184)

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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: 0648180406View full group profile
NameSpecialtyState
Dentist, General Practice, Maxillofacial Surgery, General PracticeMI
-MI
Family PracticeMI
Physician AssistantMI
-MI
Family PracticeMI
N E U R O L O G YMI
Colorectal Surgery (Proctology)MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Can I cross-check RACHELLE RANDALL (DPM) using NPI 1558855155?
NPI 1558855155 belongs to RACHELLE RANDALL (DPM); compare other details if you need extra assurance.
Is RACHELLE RANDALL (DPM) shown as active in public data?
Registry records indicate RACHELLE RANDALL (DPM) maintains an active NPI.
What kind of doctor is RACHELLE RANDALL (DPM)?
RACHELLE RANDALL (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for RACHELLE RANDALL (DPM)?
Travel planning: use Wayne, Michigan as the reference point for RACHELLE RANDALL (DPM), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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