Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MICHAEL WALTER RICHIE PA
NPI 1114796992
Physician Assistant in Oakland, CA

Active since December 21, 2023PECOS Enrolled
3900 PIEDMONT AVE, OAKLAND, CA 94611(415) 432-7899 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, May 7, 2025 (2 updates tracked since 2025).

About Mr. Michael Walter Richie Pa NPPES

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

MR. MICHAEL WALTER RICHIE PA (NPI 1114796992) is an individual physician assistant in Oakland, California, licensed in California (PA65919) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alameda, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114796992
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL WALTER RICHIECredential: PA
Location Address3900 PIEDMONT AVEOakland, CA 94611-5352
Mailing Address1104 Rosewood WayAlameda, CA 94501-5636 · (510) 861-5595
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 21, 2023
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
NPI 1114796992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA65919
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.
3900 PIEDMONT AVE, Oakland, CA 94611

Secondary Practice Location 1

Location 12671 Blanding Ave # AbAlameda, CA 94501-1587 · Phone (415) 404-3125

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

Mr. Michael Walter Richie Pa 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 ID3375043144
PECOS Enrollment IDI20250826000836
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 94611 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 4

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

Physician Assistant
3900 PIEDMONT AVE
OAKLAND, CA 94611
Physician Assistant
3900 PIEDMONT AVE
OAKLAND, CA 94611
Physician Assistant
3900 PIEDMONT AVE
OAKLAND, CA 94611
Nurse Practitioner
3900 PIEDMONT AVE
OAKLAND, CA 94611

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 Michael Richie's NPI number?

The NPI number for Michael Richie is 1114796992. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Michael Richie located?

Michael Richie practices at 3900 Piedmont Ave, Oakland, CA 94611. The listed phone number is (415) 432-7899.

What is Michael Richie's specialty?

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

Is Michael Richie enrolled in Medicare?

Yes. Michael Richie 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.

When was this NPI record last updated?

The NPPES record for Michael Richie was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.