Jessica Randolph, LPC, PA
NPI 1174842215 · Medical Physician Assistant · Tahlequah, OK
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Randolph, LPC, PA is a Medical Physician Assistant provider in Tahlequah, OK (NPI 1174842215).
Provider details
- NPI number
- 1174842215
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- LPC, PA
- Sex
- Female
- Sole proprietor
- No
- License
- 5388 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
337 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 162 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 160 | $77 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 15 | $138 |
Typical Medicare-allowed amounts for these services range $13–$138 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buspirone Hcl | 114 | 22 |
| Duloxetine Hcl | 102 | 17 |
| Trazodone Hcl | 97 | 21 |
| Quetiapine Fumarate | 74 | 16 |
| Sertraline Hcl | 66 | 12 |
| Aripiprazole | 64 | 13 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-28
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Jessica Randolph's NPI number?
- Jessica Randolph's National Provider Identifier (NPI) is 1174842215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Randolph's specialty?
- Jessica Randolph is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Randolph located?
- Jessica Randolph's practice location on file with NPPES is 100 S Bliss Ave, Tahlequah, OK 74464-2512.
- What is Jessica Randolph's phone number?
- The practice phone number listed in the NPPES registry for Jessica Randolph is (918) 458-3100.
- Does Jessica Randolph accept Medicare?
- Jessica Randolph is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Randolph's NPI active?
- Yes — Jessica Randolph's NPI (1174842215) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.