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RAVEN RICHARDSON FNP
NPI 1083375380
Nurse Practitioner - Family in Hazel Park, MI

Active since January 07, 2022PECOS Enrolled
624 E 9 MILE RD, HAZEL PARK, MI 48030(248) 629-7497 Get Directions Write a Review

NPPES record last updated: July 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2024, Jul 7, 2024, Jan 7, 2022 (3 updates tracked since 2022).

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.

NPPES Registry Identity

NPI1083375380
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAVEN RICHARDSONCredential: FNP
Location Address624 E 9 MILE RDHazel Park, MI 48030-1842
Mailing Address624 E 9 Mile RdHazel Park, MI 48030-1842
Phone(248) 629-7497
Sole ProprietorYes
Enumeration DateJanuary 7, 2022
Last NPPES UpdateJuly 20, 20243 updates tracked since enumeration
NPPES CertifiedJuly 20, 2024
✔ NPI 1083375380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704322492
624 E 9 MILE RD, Hazel Park, MI 48030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Richardson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Physician 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.

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 18

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

JENNA NURA JACKSON PA-C
Physician Assistant
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 629-7497
NEMER HAMAD
Clinical Ethicist
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 677-0638
PHOENIX REHABILITATION SERVICE
Clinic/Center (Physical Therapy)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (313) 525-5554
DEARBORN PAIN CENTER PLLC
Clinic/Center (Urgent Care)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 629-7497
JENNIFER SYEDA NP
Nurse Practitioner (Primary Care)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 629-7497
MOHAMMED S HAQ MD P C
Family Medicine
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 541-2800
HAZEL PARK URGENT CARE PLLC
Clinic/Center (Urgent Care)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 268-2566
MARIA NADIA NELSON MS, PA-C
Physician Assistant
624 E 9 MILE RD
HAZEL PARK, MI 48030
Oakland County (248) 629-7497

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 enrollment system.

What insurance does Raven Richardson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and McLaren Health Plan Community 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.

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.