HALEY C RICHARDSON
NPI 1104454768
Physician Assistant in Jeffersonville, IN

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
1220 SPRING ST, JEFFERSONVILLE, IN 47130(812) 282-8494(812) 288-4481 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Feb 10, 2022, Aug 4, 2020 and 1 more (4 updates tracked since 2020).

About Haley C Richardson NPPES

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

HALEY C RICHARDSON (NPI 1104454768) is an individual physician assistant in Jeffersonville, Indiana, licensed in Indiana (10003008A) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104454768
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY C RICHARDSON
Location Address1220 SPRING STJeffersonville, IN 47130-3704
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(812) 288-4481
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateMarch 10, 20254 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1104454768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IN · 10003008A Licensed in KY · TC165
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1220 SPRING ST, Jeffersonville, IN 47130

Secondary Practice Locations 3

Location 19408 Tunnel Mill RdMarysville, IN 47141-9721 · Phone (812) 207-8212
Location 2550 S Landmark AveBloomington, IN 47403-3239 · Phone (812) 355-6900
Location 33 Audubon Plaza Dr Ste 230Louisville, KY 40217-1319 · Phone (502) 637-3311 · Fax (502) 637-3168

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Haley C Richardson 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.

PECOS PAC ID143648956
PECOS Enrollment IDI20200910002346
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47130 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 11

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

Prosthetic/Orthotic Supplier
1220 SPRING ST, SUITE A
JEFFERSONVILLE, IN 47130
Orthopaedic Surgery
1220 SPRING ST
JEFFERSONVLLE, IN 47130
Family Medicine (Sports Medicine)
1220 SPRING ST
JEFFERSONVILLE, IN 47130
Orthopaedic Surgery
1220 SPRING ST
JEFFERSONVILLE, IN 47130
Orthopaedic Surgery (Sports Medicine)
1220 SPRING ST
JEFFERSONVILLE, IN 47130
Orthopaedic Surgery
1220 SPRING ST
JEFFERSONVILLE, IN 47130
Orthopaedic Surgery
1220 SPRING ST
JEFFERSONVILLE, IN 47130
Orthopaedic Surgery
1220 SPRING ST
JEFFERSONVILLE, IN 47130

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 Haley Richardson's NPI number?

The NPI number for Haley Richardson is 1104454768. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Haley Richardson located?

Haley Richardson practices at 1220 Spring St, Jeffersonville, IN 47130. The listed phone number is (812) 282-8494.

What is Haley Richardson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Richardson enrolled in Medicare?

Yes. Haley 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.

What insurance does Haley Richardson accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Haley 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 Haley Richardson affiliated with any hospitals?

According to CMS data, Haley Richardson is affiliated with Clark Memorial Hospital and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Haley Richardson was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.