Crista Randol, FNP-C in Fort Wayne, IN - Medicare Nurse Practitioner

Crista Randol, FNP-C is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 7333 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 458-3825.

Crista Randol is licensed to practice in Indiana (license number 71009114A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689226797.

Contact Information

	Crista Randol, FNP-C
	7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280
	(260) 458-3825
	Not Available

Map and Direction

Provider's Profile

Full Name	Crista Randol
Gender	Female
Speciality	Nurse Practitioner
Location	7333 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689226797
Provider Enumeration Date: 07/10/2019
Last Update Date: 07/10/2019

Medicare PECOS Information:

PECOS PAC ID: 3173850690
Enrollment ID: I20200225000751

Medical Identifiers

Medical identifiers for Crista Randol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689226797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71009114A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crista Randol allows following entities to bill medicare on her behalf.

Entity Name	American Current Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720262645 PECOS PAC ID: 9739260019 Enrollment ID: O20100106000864

Entity Name	Brock Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567

Entity Name	Fast Pace Kentucky Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crista Randol is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Crista Randol, FNP-C 8210 Surrey Ct, Fort Wayne, IN 46815-8777 Ph: (260) 450-9535	Crista Randol, FNP-C 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 Ph: (260) 458-3825

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Crista Randol, FNP-C - Medicare Nurse Practitioner in Fort Wayne, IN