RICHMOND STATE HOSPITAL
NPI 1093933236
Psychiatric Hospital in Richmond, IN
About Richmond State Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHMOND STATE HOSPITAL (NPI 1093933236) is a healthcare organization registered as a psychiatric hospital in Richmond, Indiana and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists David M Shelford, Assistant Superintendent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Richmond State Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
112Medicare enrollment records show 112 clinicians reassign Medicare billing to Richmond State Hospital, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 112Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D0360480
Richmond State Hospital · Richmond, INFrequently 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 State Of Indiana - Auditor Of State's NPI number?
The NPI number for State Of Indiana - Auditor Of State is 1093933236. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Richmond State Hospital.
Where is State Of Indiana - Auditor Of State located?
State Of Indiana - Auditor Of State is located at 498 NW 18th St, Richmond, IN 47374. The listed phone number is (765) 966-0511.
What is State Of Indiana - Auditor Of State's specialty?
The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.
Is State Of Indiana - Auditor Of State enrolled in Medicare?
Yes. State Of Indiana - Auditor Of State is registered in the Medicare PECOS enrollment system.
When is State Of Indiana - Auditor Of State's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through State Of Indiana - Auditor Of State?
According to the CMS Revalidation Reassignment List (October 2026 release), 112 clinicians in 11 Medicare specialties reassign their Medicare billing to State Of Indiana - Auditor Of State. A 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 the clinician's services. The largest specialties are Psychiatry (52), Nurse Practitioner (39) and Clinical Psychologist (10). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does State Of Indiana - Auditor Of State hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D0360480) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for State Of Indiana - Auditor Of State was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Richmond State Hospital · NPI 1093933236
Psychiatric Hospital organization in Richmond, Indiana. Organization record, active in the CMS NPPES registry since April 23, 2007.
## Identity
- **NPI:** 1093933236 (Entity type: Organization)
- **Enumerated:** April 23, 2007
- **Primary specialty:** Psychiatric Hospital · taxonomy 283Q00000X
- **Legal business name:** State Of Indiana - Auditor Of State
- **Organization subpart:** Yes (part of Indiana State Family & Social Service Adm)
- **Authorized official:** David Shelford, ASSISTANT SUPERINTENDENT
## Practice location
- **Address:** 498 NW 18TH ST, Richmond, IN 47374-2851
- **Phone:** (765) 966-0511 · **Fax:** (765) 935-9503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 112 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (52), Nurse Practitioner (39), Clinical Psychologist (10); 7 practice within 10 miles; [full list](https://npiprofile.com/npi/1093933236/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 940980 (IN); Medicaid 100256720A (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093933236) · Data from the CMS NPPES public registry.