Active NPI 1295366029 Individual Practitioner Male Practitioner

Randall Jay Sampson

Contractor • Forest Lake, MN

Professional Overview & Biography Verified Profile Summary

Randall Sampson is a registered healthcare professional specializing in Contractor in Forest Lake, MN. Practice services are available at 24668 HAMLET AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24668 Hamlet Ave

Forest Lake, MN 550258781

Telephone 6122909056

Fax 6514645671

Associated Practice Facility / Clinic

🏢 Sampson Construction Facility NPI 1841827870

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Forest Lake, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Forest Lake, MN (150 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-30

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License MN BC743839

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 30, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2020

Registered at 24668 HAMLET AVE, FOREST LAKE, MN 550258781 (Tel: 6122909056)

📍

Updated Business Mailing Address January 30, 2020

Registered at 24668 HAMLET AVE, FOREST LAKE, MN 550258781 (Tel: 6122909056)

👤

Provider Name / Credentials Updated January 30, 2020

Recorded as RANDALL SAMPSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2020

Contractor (License #BC743839 in MN)

🟢

Initial NPI Registration & Enumeration January 30, 2020

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: 1295366029

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 30, 2020

Last Update: January 30, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

24668 Hamlet Ave

Forest Lake, MN 550258781

Phone: 6122909056

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.