KELLY RANDERMANN (APRN, FNP-C) – Family Nurse Practitioner, NPI 1497138515
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for KELLY RANDERMANN (APRN, FNP-C)
2122 HIGHWAY 71 S # 101
COLUMBUS, TX 789343011
Phone: (979) 733-0095
Fax: (979) 733-0665
Type: Mailing
1121 WASHINGTON BLVD
NEWCASTLE, WY 827012968
Phone: (979) 733-0095
Fax: (979) 733-0665
Type: Mailing
1124 WASHINGTON BLVD
NEWCASTLE, WY 827012972
Phone: (979) 733-0095
Fax: (979) 733-0665
Type: Mailing
128 W BELT LINE RD
CEDAR HILL, TX 751042094
Phone: (832) 445-4777
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $461.
Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($226).
Total Amount
$461
General + Research + Ownership
Payments
25
Total payment records
General Amount
$461
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $226 |
| Dexcom, Inc. | $69 |
| AstraZeneca Pharmaceuticals LP | $36 |
| Regeneron Healthcare Solutions, Inc. | $28 |
| GlaxoSmithKline, LLC. | $24 |
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: 2025-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160329002485 | I | Nurse Practitioner | TX | TBD |
| I20251008003027 | I | Nurse Practitioner | WY | 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 78934)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WY | |
| - | MO | |
| Physician Assistant | CA | |
| Family Practice | SD | |
| Nurse Practitioner | NE | |
| Family Practice | CO | |
| - | AZ | |
| Nurse Practitioner | WY | |
| Physician Assistant | CO |
Reviews
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