Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Randolph, NP-C

Individual provider Family Nurse Practitioner · NPI 1295382786

Blake Randolph, NP-C is a Nurse Practitioner in Reinbeck, Iowa. Qualified in 2019, 7 years ago. Practices with Trinity Regional Medical Center, a 172-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
7
Licensed in
IA
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

604 W St
Reinbeck, IA 50669-1353
Phone: (319) 575-0180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence A156287 (IA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A156287 (IA)

Record details

NPI number1295382786
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address604 West St, Reinbeck, IA 50669-1353

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Trinity Regional Medical Center — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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