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

Jeremiah Scott Randall, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407447246

Jeremiah Scott Randall, PMHNP-BC is a Nurse Practitioner in Mora, Minnesota. Qualified in 2021, 5 years ago. Practices with Serenity Behavioral Health and Wellness, LLC, an 8-clinician group, works from 2 locations and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

841 Forest Ave E Ste 210
Mora, MN 55051-5501
Phone: (320) 244-2451
Show map & directions

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

Additional practice locations (1)

  • 6375 W 143rd St, Savage, MN 55378-2888 — (952) 592-2200

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8527 (MN)

Record details

NPI number1407447246
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 2, 2021
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Serenity Behavioral Health And Wellness, Llc — 8 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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