DR. RANDEE MARISA POORTVLIET – Chiropractor, NPI 1770691891

DR. RANDEE MARISA POORTVLIET is a healthcare provider. based in Denton, Texas. specializing in CHIROPRACTIC. They hold a License No. 7880 (TX). The NPI Number for DR. RANDEE MARISA POORTVLIET is 1770691891

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDEE MARISA POORTVLIET
NPI
1770691891
Phone
(940) 484-8894
Address
405 W OAK ST
Enumeration Date
28 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9403870019
Graduation Year
1997 (29 years ago)
PAC ID
0749259729
Group Practice PAC ID
7810434453
Professional Enrollment ID
I20040929000075
Address ID
TX762013021DE1501XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,110 CHIROPRACTIC in TX

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Provider Addresses for DR. RANDEE MARISA POORTVLIET

  • 405, West Oak Street, Denton, Denton County, Texas, 76201, United States

    DENTON, TX 762019039

    Phone: (940) 484-8894

    Fax: (940) 484-1389

    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: 2004-09-29

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
I20040929000075IChiropracticTXTBD

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 76201)

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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: 7810434453View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX
Nurse PractitionerAR

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Frequently asked questions

What NPI should I save for DR. RANDEE MARISA POORTVLIET?
Save NPI 1770691891 if you need a stable reference for DR. RANDEE MARISA POORTVLIET.
Is DR. RANDEE MARISA POORTVLIET's NPI currently valid?
The extract we use shows DR. RANDEE MARISA POORTVLIET as active.
What kind of provider is DR. RANDEE MARISA POORTVLIET?
The page reflects Chiropractor for DR. RANDEE MARISA POORTVLIET. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. RANDEE MARISA POORTVLIET?
The page summarizes Denton, Texas for DR. RANDEE MARISA POORTVLIET; 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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