MRS. GLYNNIS D RANDALL (F.N.P.) – Nurse Practitioner, NPI 1346355583
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
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Provider Addresses for MRS. GLYNNIS D RANDALL (F.N.P.)
PO BOX 1007
LUCEDALE, MS 394521007
Phone: (601) 947-1332
Fax: (601) 947-1331
Type: Mailing
Hall Street, Wiggins, Stone County, Mississippi, 39577, United States
WIGGINS, MS 395772107
Phone: (601) 528-9119
Fax: (601) 528-9193
Type: Location
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 $323.
Total Amount is formed as General ($323) + Research ($0) + Ownership ($0) = $323.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($83).
Total Amount
$323
General + Research + Ownership
Payments
17
Total payment records
General Amount
$323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $83 |
| ABBVIE INC. | $53 |
| Abbott Laboratories | $42 |
| GlaxoSmithKline, LLC. | $42 |
| Lilly USA, LLC | $36 |
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: 2004-05-27
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 |
|---|---|---|---|---|
| I20040527000304 | I | Nurse Practitioner | MS | 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 39452)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| - | TX | |
| A N E S T H E S I O L O G Y | MS | |
| - | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Cardiovascular Disease (Cardiology) | KY | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| N E U R O L O G Y | MS |
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