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Active NPI 1295382786 Individual Practitioner Male Practitioner

Blake Randolph , NP-C

Nurse Practitioner • Reinbeck, IA

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Blake Randolph, NP-C is a registered Nurse Practitioner practitioner in Reinbeck, IA. With approximately 7 years of clinical practice since completing medical education in 2019, Blake Randolph provides healthcare services at the registered practice location at 604 WEST ST.

Blake Randolph is affiliated with Trinity Regional Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

604 West St

Reinbeck, IA 506691353

Telephone 3195750180

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Reinbeck, IA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs Matches City Avg
City Avg: 7.0 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Reinbeck, IA (1307 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Randolph (7 Years) 7 Yrs
Reinbeck Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
260 233 $169.18 $70.74
81003 Automated urinalysis test
61 54 $6.00 $2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 17 $237.33 $100.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $231.00 $87.37
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
13 13 $42.00 $16.20

Medical Specialties & State Licenses

CMS Verified: 2025-08-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IA A156287

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IA A156287

Definition to come...

Hospital & Practice Group Affiliations

Trinity Regional Medical Center

800 Kenyon Rd, Fort Dodge, IA 505015776

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location August 21, 2025

Registered at 604 WEST ST, REINBECK, IA 506691353 (Tel: 3195750180)

📍
Updated Business Mailing Address August 21, 2025

Registered at 604 WEST ST, REINBECK, IA 506691353 (Tel: 3195750180)

📍
Updated Practice Location February 03, 2025

Registered at 802 S CENTER ST, MARSHALLTOWN, IA 501583350 (Tel: 6418445200)

📍
Updated Business Mailing Address February 03, 2025

Registered at 1215 DUFF AVE, AMES, IA 500105469 (Tel: 5152394400)

📍
Updated Practice Location May 01, 2023

Registered at 1631 LOGAN AVE, WATERLOO, IA 507031237 (Tel: 3198335381)

📍
Updated Business Mailing Address May 01, 2023

Registered at PO BOX 2758, WATERLOO, IA 507042758 (Tel: 3192355390)

📍
Updated Business Mailing Address May 07, 2020

Registered at 146 W DALE ST STE 201, WATERLOO, IA 507031901 (Tel: 3192269888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2019

Nurse Practitioner (License #A156287 in IA)

NPI Profile Active August 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2019

Registered at 1825 LOGAN AVE, WATERLOO, IA 507031916 (Tel: 3192353941)

📍
Updated Business Mailing Address August 20, 2019

Registered at 203 COMMERCIAL ST, REINBECK, IA 506691115 (Tel: 3195750180)

👤
Provider Name / Credentials Updated August 20, 2019

Recorded as BLAKE RANDOLPH, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295382786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2019
Last Update: August 21, 2025
Sole Proprietor: No

Mailing Address

604 West St

Reinbeck, IA 506691353

Phone: 3195750180

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.