RAVEN RICHARDSON FNP
NPI 1083375380
Nurse Practitioner - Family in Hazel Park, MI
About Raven Richardson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEN RICHARDSON FNP (NPI 1083375380) is an individual family provider in Hazel Park, Michigan, licensed in Michigan (4704322492) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2020).
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 and accepts Medicare assignment
Raven Richardson Fnp 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.
Medicare Billing Reassignments
6Medicare enrollment records show Raven Richardson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hazel Park, MI 48030
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Hazel Park, MI 48030
- Reassigned Medicare billing, Michigan enrollment
- 7 clinicians in this Medicare group
Berkley, MI 48072
- Reassigned Medicare billing, Michigan enrollment
- 11 clinicians in this Medicare group
Clinton Twp, MI 48035
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Redford, MI 48239
- Reassigned Medicare billing, Michigan enrollment
- 10 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48030 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Raven Richardson's NPI number?
The NPI number for Raven Richardson is 1083375380. It was assigned to this individual provider in the NPPES registry on January 7, 2022.
Where is Raven Richardson located?
Raven Richardson practices at 624 E 9 Mile Rd, Hazel Park, MI 48030. The listed phone number is (248) 629-7497.
What is Raven Richardson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Raven Richardson enrolled in Medicare?
Yes. Raven 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.
Which organizations bill Medicare for Raven Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raven Richardson reassigns Medicare benefits to 6 organizations: Dearborn Pain Center PLLC (Hazel Park, MI), Hazel Park Primary Care LLC (Hazel Park, MI), Berkley Urgent Care PLLC (Berkley, MI), Advance Health Urgent Care PLLC (Clinton Twp, MI), Express Health Urgent Care PLLC (Redford, MI) and 1 more organization, listed in the Medicare section above. Each 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 Raven Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raven Richardson accept?
Health plans from Priority Health list Raven 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.
Is Raven Richardson affiliated with any hospitals?
According to CMS data, Raven Richardson is affiliated with Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Raven Richardson was last updated on July 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Raven Richardson, FNP · NPI 1083375380
Family physician in Hazel Park, Michigan. Individual provider, active in the CMS NPPES registry since January 7, 2022.
## Identity
- **NPI:** 1083375380 (Entity type: Individual)
- **Enumerated:** January 7, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704322492 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 624 E 9 MILE RD, Hazel Park, MI 48030-1842
- **Phone:** (248) 629-7497
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Dearborn Pain Center PLLC (NPI 1174995203, Hazel Park, MI); Hazel Park Primary Care LLC (NPI 1306407440, Hazel Park, MI); Berkley Urgent Care PLLC (NPI 1083022735, Berkley, MI); Advance Health Urgent Care PLLC (NPI 1124841127, Clinton Twp, MI); Express Health Urgent Care PLLC (NPI 1265157697, Redford, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083375380) · Data from the CMS NPPES public registry.