Jessica Luanne Randolph, FNP-BC - Medicare Nurse Practitioner in Cookeville, TN

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Jessica Luanne Randolph, FNP-BC is a medicare enrolled "Nurse Practitioner" in Cookeville, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group, Pllc, Crossroads Urgent Care Pllc and her current practice location is 128 N Whitney Ave, Cookeville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 783-4600.

Jessica Luanne Randolph is licensed to practice in Tennessee (license number 17758) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073954400.

Contact Information

Jessica Luanne Randolph, FNP-BC
128 N Whitney Ave,
Cookeville, TN 38501-2493
(931) 783-4600
(931) 783-4699

Map and Direction




Provider's Profile

Full NameJessica Luanne Randolph
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location128 N Whitney Ave, Cookeville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Luanne Randolph attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1073954400
  • Provider Enumeration Date: 07/14/2013
  • Last Update Date: 07/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668606120
  • Enrollment ID: I20131016001064

Medical Identifiers

Medical identifiers for Jessica Luanne Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073954400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 17758 (Tennessee)Secondary
363L00000XNurse Practitioner 17758 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cookeville Regional Medical CenterCookeville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Pllc2860396330515
Crossroads Urgent Care Pllc8325117484133

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. Jessica Luanne Randolph allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793
Entity NameCookeville Regional Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649202102
PECOS PAC ID: 8325092638
Enrollment ID: O20050309000874
Entity NameCrossroads Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366644361
PECOS PAC ID: 8325117484
Enrollment ID: O20080515000672

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. Jessica Luanne Randolph 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 AddressPractice Location Address
Jessica Luanne Randolph, FNP-BC
1275 Dick Lonas Rd Unit 101,
Knoxville, TN 37909-1383

Ph: (865) 584-4747		Jessica Luanne Randolph, FNP-BC
128 N Whitney Ave,
Cookeville, TN 38501-2493

Ph: (931) 783-4600

Reviews and Comments


Nurse Practitioner Nurses in Cookeville, TN

Amy Jo Emerick, PMHNP
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Practice Location: 509 N Cedar Ave, Cookeville, TN 38501
Phone: 931-520-8435    
Cathleen Delane Stewart, NURSE PRACTIONER
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Practice Location: 758 S Willow Ave., Cookeville, TN 38501
Phone: 931-526-6173    Fax: 931-526-5084
Laura June Young, FAMILY PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Neal St, Cookeville, TN 38501
Phone: 931-528-8593    
Sarah Brady, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 W 3rd St, Cookeville, TN 38501
Phone: 931-528-9047    
Mrs. Karen Candace Norrod, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Willow Ave, Cookeville, TN 38506
Phone: 931-349-4603    
Joseph C Archer, ANP C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 S Willow Ave, Cookeville, TN 38501
Phone: 931-526-9518    Fax: 931-372-0087
Japheth F Harding, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 N Willow Ave, Cookeville, TN 38501
Phone: 931-528-8899    Fax: 931-528-5121

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.