NICHOLAS RICHARDS PA-C
NPI 1164965109
Physician Assistant - Medical in Bremerton, WA

Q: What is Nicholas Richards's NPI number?

The NPI number for Nicholas Richards is 1164965109. It was assigned to this individual provider in the NPPES registry on November 23, 2016.

Q: What is Nicholas Richards's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Richards was last updated on January 11, 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.

Active since November 23, 2016PECOS Enrolled

1 BOONE RD, BREMERTON, WA 98312(360) 475-4721 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Nov 8, 2022, Nov 4, 2022 and 2 more (5 updates tracked since 2016).

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About Nicholas Richards Pa-c NPPES

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

NICHOLAS RICHARDS PA-C (NPI 1164965109) is an individual medical provider in Bremerton, Washington, licensed in Utah (11469067-1206) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lemoore.

NPPES Registry Identity

NPI1164965109

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameNICHOLAS RICHARDSCredential: PA-C

Location Address1 BOONE RDBremerton, WA 98312-1894

Mailing Address1 Boone RdBremerton, WA 98312-1894 · (360) 475-4000

Phone(360) 475-4721

Sole ProprietorNo

Enumeration DateNovember 23, 2016

Last NPPES UpdateJanuary 11, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2024

✔ NPI 1164965109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in UT · 11469067-1206

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 BOONE RD, Bremerton, WA 98312

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Secondary Practice Location 1

Location 1937 Franklin BlvdLemoore, CA 93246-4700 · Phone (998) 559-2822

Other Identifiers 2

Other11469067-8906UT · Utah Cs 2-5 License

Other11469067-1206UT · Utah License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Richards Pa-c 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.

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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.

DR. KAREN LOUISE BRAMER-FORTIER MD

Family Medicine