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NPI · 1417689050 · NPPES-sourced

Maryjane Randels FNP-Enp

ActiveFamily Nurse Practitioner
NPI Number
1417689050
Type 1 · Individual
Taxonomy Code
363LF0000X
Contact
(850) 445-4832
License GA · GAANP000734
Last Updated
Enumerated
Primary practice addressGA · 30622
1561 Lenru Rd, Suite ABogart, GA 30622
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About this NPIWhat this record shows.

NPI 1417689050 is registered to Maryjane Randels FNP-Enp, a Family Nurse Practitioner practising at 1561 Lenru Rd, Suite A in Bogart, Georgia. Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Maryjane Randels FNP-Enp has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 8,870 Family Nurse Practitioner providers on file in Georgia.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Maryjane Randels FNP-Enp accepts. To confirm in-network status with your specific health plan, contact Maryjane Randels FNP-Enp directly at (850) 445-4832.

Frequently asked

Yes. NPI 1417689050 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (850) 445-4832.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Maryjane Randels FNP-Enp is a Type-1 individual NPI.

As of the latest monthly CMS NPPES snapshot, 8,870 Family Nurse Practitioner providers are registered in Georgia, and Maryjane Randels FNP-Enp is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeIndividual
Taxonomy363LF0000X
Last updated
Enumerated
StatusActive
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Same specialtyOther Family Nurse Practitioner providers in Georgia.

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