MR. RANDALL LEROY STEVENS (PA-C) – Medical Physician Assistant, NPI 1629044540

MR. RANDALL LEROY STEVENS (PA-C) is a healthcare provider. based in Eglin afb, Florida. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. The NPI Number for MR. RANDALL LEROY STEVENS (PA-C) is 1629044540

Main info

Male
Name
MR. RANDALL LEROY STEVENS (PA-C)
NPI
1629044540
Phone
(850) 883-8600
Address
307 BOATNER RD
Enumeration Date
28 February 2006
Last Update Date
10 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for MR. RANDALL LEROY STEVENS (PA-C)

  • 96th Medical Group, 307, Boatner Road, Okaloosa County, Florida, 32542, United States

    EGLIN AFB, FL 325421391

    Phone: (850) 883-8600

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 32542)

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Reviews

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Frequently asked questions

What unique ID ties claims to MR. RANDALL LEROY STEVENS (PA-C)?
NPI 1629044540 is assigned to MR. RANDALL LEROY STEVENS (PA-C) under the national enumeration system.
Is MR. RANDALL LEROY STEVENS (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MR. RANDALL LEROY STEVENS (PA-C) work in?
You can think of MR. RANDALL LEROY STEVENS (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MR. RANDALL LEROY STEVENS (PA-C)?
We surface Eglin Afb, Florida for MR. RANDALL LEROY STEVENS (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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