JEREMIAH SCOTT RANDALL (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1407447246
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for JEREMIAH SCOTT RANDALL (PMHNP-BC)
6375 W 143rd St
Savage, MN 553782888
Phone: (952) 592-2200
Type: Location
841 FOREST AVE E STE 210
MORA, MN 550515501
Phone: (320) 244-2451
Type: Location
6001 EGAN DR STE 197
SAVAGE, MN 553782099
Phone: (952) 592-2200
Type: Location
PO BOX 202
OGILVIE, MN 563580202
Phone: (320) 223-0467
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2023-11-15 • Largest payer in this snapshot: Neuronetics, Inc. ($27).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neuronetics, Inc. | $27 |
| Lundbeck LLC | $14 |
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: 2021-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211207001035 | I | Nurse Practitioner | MN | 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 55378)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | MN | |
| Clinical Psychologist | MN | |
| Nurse Practitioner | MN | |
| Clinical Psychologist | MN | |
| Clinical Social Worker | MN | |
| Nurse Practitioner | MN | |
| Mental Health Counselor | MN |
Reviews
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