KATI LOUISE RANDELL – Clinical Social Worker, NPI 1801195672

KATI LOUISE RANDELL is a healthcare provider. based in Las vegas, Nevada. specializing in CLINICAL SOCIAL WORKER. They hold a License No. IC-1269 (NV). The NPI Number for KATI LOUISE RANDELL is 1801195672

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KATI LOUISE RANDELL
NPI
1801195672
Phone
(702) 468-4946
Address
7380 ATWOOD AVE
Enumeration Date
19 March 2011
Last Update Date
21 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8329162677
Graduation Year
2018 (8 years ago)
PAC ID
3870038979
Group Practice PAC ID
4486089950
Professional Enrollment ID
I20240712003345
Address ID
TX774594092MI4810XBLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

548 CLINICAL SOCIAL WORKER in NV

Provider Addresses for KATI LOUISE RANDELL

  • 7380 ATWOOD AVE

    LAS VEGAS, NV 891296222

    Phone: (702) 468-4946

    Mailing address matches the actual address.

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: 2024-07-12

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
I20240712003345IClinical Social WorkerTXTBD

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 89129)

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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: 4486089950View full group profile
NameSpecialtyState
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)MS
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerTX
Nephrology, Internal MedicineTX
N E U R O L O G YPA
Hematology/Oncology, Internal MedicineTN
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find KATI LOUISE RANDELL's NPI?
You can confirm KATI LOUISE RANDELL with NPI 1801195672; it appears in the national provider directory.
Does this profile mean KATI LOUISE RANDELL is currently active?
Yes — KATI LOUISE RANDELL appears active in the national provider directory.
What does KATI LOUISE RANDELL treat or focus on?
Patients typically see KATI LOUISE RANDELL under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for KATI LOUISE RANDELL?
The page summarizes Las Vegas, Nevada for KATI LOUISE RANDELL; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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