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

Chad Larsen Randol, APRN

Individual provider Family Nurse Practitioner · NPI 1205513942

Chad Larsen Randol, APRN is a Nurse Practitioner in Indialantic, Florida. Qualified in 2023, 3 years ago. Practices with Melbourne Emergency Group, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

351 Coconut Dr
Indialantic, FL 32903-3843
Phone: (859) 428-6492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11027198 (FL)

Record details

NPI number1205513942
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 4, 2023
Last updated in NPPESJuly 4, 2023
Certification dateJuly 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Melbourne Emergency Group, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Indialantic