MR. CLIFTON RICHARDSON III PMHNP-BC
NPI 1164061339
Nurse Practitioner - Psychiatric/Mental Health in Mays Landing, NJ
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Clifton Richardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hammonton, NJ 08037
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 clinicians in this Medicare group
Westampton, NJ 08060
- Reassigned Medicare billing, New Jersey enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NJPhysician 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.
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.
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.
MAYS LANDING, NJ 08330
MAYS LANDING, NJ 08330
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.
Which organizations bill Medicare for Clifton Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clifton Richardson reassigns Medicare benefits to 2 organizations: Virtua Medical Group, PA (Hammonton, NJ) and Oaks Integrated Care (Westampton, NJ). Each 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 Clifton Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mr. Clifton Richardson III, PMHNP-BC · NPI 1164061339
Psychiatric/Mental Health physician in Mays Landing, New Jersey. Individual provider, active in the CMS NPPES registry since January 5, 2020.
## Identity
- **NPI:** 1164061339 (Entity type: Individual)
- **Enumerated:** January 5, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ00982400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 5060 ATLANTIC AVE, Mays Landing, NJ 08330-2022
- **Phone:** (609) 625-4090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Virtua Medical Group, PA (NPI 1396342507, Hammonton, NJ); Oaks Integrated Care (NPI 1255427647, Westampton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164061339) · Data from the CMS NPPES public registry.