DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) – Adolescent Medicine (Internal Medicine) Physician, NPI 1144469354

DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials DMS, CHA, PA. They hold a License No. 1527 (CO). The NPI Number for DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) is 1144469354

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA)
NPI
1144469354
Phone
(702) 579-3203
Address
PO BOX 35380
Enumeration Date
11 February 2009
Last Update Date
15 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196355148
Graduation Year
2001 (25 years ago)
PAC ID
5193060630
Group Practice PAC ID
2769706431
Professional Enrollment ID
I20190102002345
Address ID
CO809078722CO1625XPTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA)

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

  • 5920 S ESTES ST

    SUITE 250

    LITTLETON, CO 801238618

    Phone: (303) 972-7337

    Fax: (303) 972-0026

    Type: Mailing

  • 1707 COLE BLVD STE 100

    GOLDEN, CO 804013219

    Phone: (303) 763-4900

    Fax: (303) 972-0026

    Type: Mailing

  • 32135 CASTLE CT STE 101

    EVERGREEN, CO 804398006

    Phone: (303) 679-8500

    Fax: (303) 972-0026

    Type: Location

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: 2019-01-02

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
I20190102002345IPhysician AssistantCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89133)

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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: 2769706431View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA)'s NPI?
Yes. DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) is listed with NPI 1144469354 in the public NPI dataset.
Is DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) still practicing?
DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA)?
For research purposes, treat DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) as Adolescent Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) on a map?
Expect Las Vegas, Nevada as a primary anchor for DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) unless the record lists multiple sites.
Is the information about DR. JEANNINE MARIE FERRIGNO RANDOLPH (DMS, CHA, PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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