RANDALL K CUNDIFF (ARNP) – Nurse Practitioner, NPI 1104877760
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
Provider Addresses for RANDALL K CUNDIFF (ARNP)
PO BOX 803929
KANSAS CITY, MO 641803929
Phone: (800) 953-0104
Fax: (303) 765-6670
Type: Mailing
311 E SPRUCE ST
GARDEN CITY, KS 678465614
Phone: (620) 275-3030
Fax: (620) 275-3025
Type: Location
Main Street, Boise City, Cimarron County, Oklahoma, 73933, United States
CIMARRON, KS 67835
Phone: (620) 855-4616
Fax: (620) 855-4613
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: 2005-03-10
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 |
|---|---|---|---|---|
| I20050310000890 | I | Nurse Practitioner | KS | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 120 | 79 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 115 | 107 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 54 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 17 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 64180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | KS | |
| Internal Medicine | KS | |
| Nurse Practitioner | CO | |
| Family Practice | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| - | MO |
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