MRS. KATRINA DENISE RICHARDSON NP
NPI 1053399337
Nurse Practitioner in Detroit, MI

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
4777 E OUTER DR, 2935 WEST. GRAND BLVD., DETROIT, MI 48234(313) 369-1960 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Katrina Denise Richardson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATRINA DENISE RICHARDSON NP (NPI 1053399337) is an individual nurse practitioner in Detroit, Michigan, licensed in Michigan (4704212072) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1053399337
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KATRINA DENISE RICHARDSONCredential: NP
Location Address4777 E OUTER DR, 2935 WEST. GRAND BLVD.Detroit, MI 48234-3241
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 936-2047
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 6, 2006
Last NPPES UpdateJanuary 8, 2018
NPI 1053399337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704212072
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4777 E OUTER DR, Detroit, MI 48234

Secondary Practice Location 1

Location 14777 E Outer Dr, 2935 West. Grand Blvd.Detroit, MI 48234-3241 · Phone (313) 369-1960

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Katrina Denise Richardson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961423173
PECOS Enrollment IDI20051215000641
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
4777 E OUTER DR
DETROIT, MI 48234
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Ambulance (Land Transport)
4777 E OUTER DR
DETROIT, MI 48234
General Acute Care Hospital
4777 E OUTER DR
DETROIT, MI 48234
Physician Assistant
4777 E OUTER DR
DETROIT, MI 48234
Social Worker
4777 E OUTER DR
DETROIT, MI 48234
Dietitian, Registered
4777 E OUTER DR
DETROIT, MI 48234
Internal Medicine (Addiction Medicine)
4777 E OUTER DR
DETROIT, MI 48234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Richardson's NPI number?

The NPI number for Katrina Richardson is 1053399337. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Katrina Richardson located?

Katrina Richardson practices at 4777 E Outer Dr 2935 West. Grand Blvd., Detroit, MI 48234. The listed phone number is (313) 369-1960.

What is Katrina Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katrina Richardson enrolled in Medicare?

Yes. Katrina Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katrina Richardson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Oscar Insurance Company and 1 other insurer list Katrina Richardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katrina Richardson was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.