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MR. CLIFTON RICHARDSON III PMHNP-BC
NPI 1164061339
Nurse Practitioner - Psychiatric/Mental Health in Mays Landing, NJ

Active since January 05, 2020PECOS Enrolled
100/100
CMS Quality Rating
5060 ATLANTIC AVE, MAYS LANDING, NJ 08330(609) 625-4090 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, Jan 5, 2020 (2 updates tracked since 2020).

About Mr. Clifton Richardson Iii Pmhnp-bc NPPES

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

MR. CLIFTON RICHARDSON III PMHNP-BC (NPI 1164061339) is an individual psychiatric/mental health provider in Mays Landing, New Jersey, licensed in New Jersey (26NJ00982400) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and maintains a secondary practice location in Mount Laurel.

NPPES Registry Identity

NPI1164061339
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. CLIFTON RICHARDSON IIICredential: PMHNP-BC
Location Address5060 ATLANTIC AVEMays Landing, NJ 08330-2022
Mailing Address320 Lower Landing RdBlackwood, NJ 08012-5118 · (856) 341-8989
Phone(609) 625-4090
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 5, 2020
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1164061339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00982400
5060 ATLANTIC AVE, Mays Landing, NJ 08330
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Century Pkwy Ste 350Mount Laurel, NJ 08054-1149 · Phone (856) 482-9000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Clifton Richardson Iii Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537599964
PECOS Enrollment IDI20200424002433
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services21 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08330 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

SAYE BOAKAI MEHN APN
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
5060 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (609) 625-4090
SHARON LYNN SCHOFIELD FNP-BC
Nurse Practitioner (Primary Care)
5060 ATLANTIC AVE
MAYS LANDING, NJ 08330
Atlantic County (609) 625-4090

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 Clifton Richardson's NPI number?

The NPI number for Clifton Richardson is 1164061339. It was assigned to this individual provider in the NPPES registry on January 5, 2020.

Where is Clifton Richardson located?

Clifton Richardson practices at 5060 Atlantic Ave, Mays Landing, NJ 08330. The listed phone number is (609) 625-4090.

What is Clifton Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Clifton Richardson enrolled in Medicare?

Yes. Clifton Richardson is registered in the Medicare PECOS enrollment system.

Is Clifton Richardson affiliated with any hospitals?

According to CMS data, Clifton Richardson is affiliated with Jefferson Stratford Hospital.

When was this NPI record last updated?

The NPPES record for Clifton Richardson was last updated on March 15, 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.