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Active NPI 1215313903 Individual Practitioner Female Practitioner

Randi Rasberry , PA-C

Physician Assistant • Nesconset, NY

Professional Overview & Biography Verified Profile Summary

Randi Rasberry, PA-C is a registered healthcare professional specializing in Physician Assistant in Nesconset, NY. Practice services are available at 100 SOUTHERN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Southern Blvd

Nesconset, NY 117671797

Telephone 8722313162
Fax 7029771496
Associated Practice Facility / Clinic
🏢 Nesconset Acquisition, Llc Facility NPI 1821267519

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Nesconset, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Nesconset, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
1,258 268 $225.00 $71.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
574 188 $324.00 $102.60
99306 Initial nursing facility visit, typically 45 minutes per day
255 242 $543.00 $172.49
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
157 124 $399.00 $126.62

Medical Specialties & State Licenses

CMS Verified: 2025-11-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 1126818

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License LA PA.200846

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License LA PA.200846

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
07705168 (NY)
Medicaid State Provider ID
2400495 (LA)
Medicaid State Provider ID
03855858 (MS)

Secondary Practice Locations

78 Old Country Rd

Westhampton, NY 119771219

Phone: 8722313162

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alysse Boyd

Physician Assistant

NPI 1003018763
Emily Smith , PA

Physician Assistant

NPI 1003232612

Physician Assistant

Dr. Jessica Bloomgarden , MD

Physical Medicine & Rehabilitation

NPI 1013158427

Doctor of Medicine (M.D.)

Rajdeep Sandhu , FNP-C

Nurse Practitioner - Family

NPI 1013473073

Family Nurse Practitioner (Certified)

Lyncee Barrett , FNP

Nurse Practitioner - Family

NPI 1013483296

Family Nurse Practitioner

Dr. Allison Williams , MD

Physical Medicine & Rehabilitation

NPI 1013967066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location November 26, 2025

Registered at 100 SOUTHERN BLVD, NESCONSET, NY 117671797 (Tel: 8722313162)

📍
Updated Business Mailing Address November 26, 2025

Registered at PO BOX 22239, NEW YORK, NY 100870001 (Tel: 7028990595)

📍
Updated Practice Location April 29, 2019

Registered at 200 HENRY CLAY AVE, NEW ORLEANS, LA 701185798 (Tel: 5048999511)

📍
Updated Business Mailing Address April 29, 2019

Registered at 200 HENRY CLAY AVE, NEW ORLEANS, LA 701185798 (Tel: 5048999511)

NPI Profile Active November 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2015

Registered at 1514 JEFFERSON HWY, NEW ORLEANS, LA 701212429 (Tel: 5048428844)

📍
Updated Business Mailing Address November 09, 2015

Registered at 1514 JEFFERSON HWY, NEW ORLEANS, LA 701212429 (Tel: 5048428844)

👤
Provider Name / Credentials Updated November 09, 2015

Recorded as RANDI RASBERRY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2015

Physician Assistant (License #PA.200846 in LA)

🟢
Initial NPI Registration & Enumeration August 04, 2015

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: 1215313903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2015
Last Update: November 26, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 22239

New York, NY 100870001

Phone: 7028990595

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.