KRISTY J RICHARDSON NP
NPI 1093946006
Nurse Practitioner - Family in Fort Wayne, IN

Q: What is Kristy Richardson's NPI number?

The NPI number for Kristy Richardson is 1093946006. It was assigned to this individual provider in the NPPES registry on August 7, 2009.

Q: What is Kristy Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Richardson was last updated on November 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 07, 2009PECOS Enrolled

7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-8686(260) 436-8585 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kristy J Richardson Np NPPES

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

KRISTY J RICHARDSON NP (NPI 1093946006) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71003001A) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093946006

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTY J RICHARDSONCredential: NP

Location Address7601 W JEFFERSON BLVDFort Wayne, IN 46804-4133

Mailing AddressPo Box 2526Fort Wayne, IN 46801-2526 · (260) 436-8686 · Fax (260) 436-8585

Phone(260) 436-8686

Fax(260) 436-8585

Sole ProprietorNo

Enumeration DateAugust 7, 2009

Last NPPES UpdateNovember 7, 2016

✔ NPI 1093946006 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 IN · 71003001A

7601 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Other Identifiers 4

Other000000816667Anthem

OtherP01478538IN · Railroad Medicare

Medicaid200957030IN

Medicare PIN132560005IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristy J Richardson Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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