DYLAN ROY RICHMOND
NPI 1073480745
Nurse Practitioner - Psychiatric/Mental Health in Sandy, UT
About Dylan Roy Richmond NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYLAN ROY RICHMOND (NPI 1073480745) is an individual psychiatric/mental health provider in Sandy, Utah, licensed in Utah (11299468-4405) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dylan Roy Richmond is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dylan Richmond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jasper, GA 30143
- Reassigned Medicare billing, Hawaii enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANDY, UT 84094
SANDY, UT 84094
SANDY, UT 84094
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 Dylan Richmond's NPI number?
The NPI number for Dylan Richmond is 1073480745. It was assigned to this individual provider in the NPPES registry on October 18, 2025.
Where is Dylan Richmond located?
Dylan Richmond practices at 7984 S 1300 E, Sandy, UT 84094. The listed phone number is (916) 412-6333.
What is Dylan Richmond's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Dylan Richmond enrolled in Medicare?
Yes. Dylan Richmond is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dylan Richmond's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Richmond reassigns Medicare benefits to George Mackel, Pmhnp-Bc, LLC (Jasper, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dylan Richmond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dylan Richmond accept?
Health plans from HMSA list Dylan Richmond 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 Dylan Richmond was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Dylan Roy Richmond · NPI 1073480745
Psychiatric/Mental Health physician in Sandy, Utah. Individual provider, active in the CMS NPPES registry since October 18, 2025.
## Identity
- **NPI:** 1073480745 (Entity type: Individual)
- **Enumerated:** October 18, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 11299468-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 7984 S 1300 E, Sandy, UT 84094-0744
- **Phone:** (916) 412-6333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** George Mackel, Pmhnp-Bc, LLC (NPI 1073111845, Jasper, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073480745) · Data from the CMS NPPES public registry.