KRISTIN RANDA (DO) – Family Medicine Physician, NPI 1417452996

KRISTIN RANDA (DO) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS17784 (FL). The NPI Number for KRISTIN RANDA (DO) is 1417452996

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN RANDA (DO)
NPI
1417452996
Phone
(414) 389-2131
Address
3301 W FOREST HOME AVE
Enumeration Date
27 March 2018
Last Update Date
5 June 2022

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
2625143700
Graduation Year
2018 (8 years ago)
PAC ID
9335564848
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20220321000432
Address ID
WI531854585WA818XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

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Provider Addresses for KRISTIN RANDA (DO)

  • West Forest Home Avenue, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    MILWAUKEE, WI 532152843

    Phone: (414) 389-2131

    Type: Mailing

  • 7010, North Tichigan Road, Town of Waterford, Racine County, Wisconsin, 53185, United States

    WATERFORD, WI 531851760

    Phone: (414) 687-1668

    Type: Location

  • 11211 W LINCOLN AVE

    WEST ALLIS, WI 532271035

    Phone: (414) 454-8300

    Fax: (239) 343-2301

    Type: Mailing

  • 2780 CLEVELAND AVE STE 709

    FORT MYERS, FL 339015857

    Phone: (239) 343-3831

    Fax: (239) 343-2301

    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: 2022-03-21

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
I20220321000432IFamily PracticeWITBD

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 minutes169159$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected2726$0
81003Automated urinalysis test2625$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
94640Inhalation treatment for airway obstruction or sputum production1717$0
View full utilization report →

Insurance plans in this area (ZIP 53215)

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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: 6709794258View full group profile

Reviews

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Frequently asked questions

What is KRISTIN RANDA (DO)'s NPI number?
KRISTIN RANDA (DO)'s NPI is 1417452996 — the number used across U.S. healthcare to identify this provider.
Is KRISTIN RANDA (DO) shown as active in public data?
Registry records indicate KRISTIN RANDA (DO) maintains an active NPI.
What area of care is associated with KRISTIN RANDA (DO)?
KRISTIN RANDA (DO)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KRISTIN RANDA (DO)?
Directory geography for KRISTIN RANDA (DO) centers on Milwaukee, Wisconsin.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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