RENITA W. RANDALL (FNP) – Family Nurse Practitioner, NPI 1285724625

RENITA W. RANDALL (FNP) is a healthcare provider. based in Springfield, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 110109 (MO). The NPI Number for RENITA W. RANDALL (FNP) is 1285724625

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
RENITA W. RANDALL (FNP)
NPI
1285724625
Phone
(417) 269-5712
Address
PO BOX 4046
Enumeration Date
14 October 2006
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4172692278
Graduation Year
2004 (22 years ago)
PAC ID
9739123852
Group Practice PAC ID
5799787784
Professional Enrollment ID
I20050620000045
Address ID
MO655365303LE510XX32XX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for RENITA W. RANDALL (FNP)

  • Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg

    SPRINGFIELD, MO 658084046

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • 11863 State Highway 13

    Kimberling City, MO 656868362

    Phone: (417) 739-1995

    Fax: (417) 739-1893

    Type: Location

  • 1059 Barton Dr

    Fordland, MO 656527350

    Phone: (417) 767-2273

    Fax: (417) 739-1893

    Type: Location

  • 1300 E Bradford Pkwy

    Springfield, MO 658044264

    Phone: (417) 767-2273

    Type: Location

  • PO BOX 802843

    KANSAS CITY, MO 641802843

    Phone: (417) 730-6430

    Fax: (417) 269-7567

    Type: Mailing

  • 3203 E OLD STONE RD

    BROOKLINE, MO 656199620

    Phone: (417) 269-1910

    Fax: (417) 269-1916

    Type: Location

  • Cox Medical Center South, 3801, South National Avenue, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658075210

    Phone: (417) 269-7728

    Fax: (417) 269-7729

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $325.

Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($99).

Total Amount

$325

General + Research + Ownership

Payments

16

Total payment records

General Amount

$325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2005-06-20

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
I20050620000045INurse PractitionerMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes163148$0
99214Established patient office or other outpatient visit, 30-39 minutes8476$0
81003Automated urinalysis test4942$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1615$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 65808)

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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: 5799787784View full group profile

Reviews

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Frequently asked questions

Can I verify RENITA W. RANDALL (FNP) with an NPI only?
You can start verification with NPI 1285724625 for RENITA W. RANDALL (FNP), then check state licensing separately.
Is RENITA W. RANDALL (FNP) listed as active for patients and plans?
The listing shows RENITA W. RANDALL (FNP) as active in the NPI system.
What is RENITA W. RANDALL (FNP) best known for clinically?
Directory data describes RENITA W. RANDALL (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does RENITA W. RANDALL (FNP) list a practice location?
Patients near Springfield, Missouri may find RENITA W. RANDALL (FNP) in results; validate coverage separately.
Is the information about RENITA W. RANDALL (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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