MARK RICHARDSON FNP-C
NPI 1215305933
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Mark Richardson's NPI number?

The NPI number for Mark Richardson is 1215305933. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Q: What is Mark Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Richardson was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 11, 2015PECOS EnrolledAccepts Medicare Assignment

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2019, Jan 24, 2016 (2 updates tracked since 2016).

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About Mark Richardson Fnp-c NPPES

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

MARK RICHARDSON FNP-C (NPI 1215305933) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP8131) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215305933

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMARK RICHARDSONCredential: FNP-C

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1200

Phone(602) 263-1200

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 11, 2015

Last NPPES UpdateApril 11, 20192 updates tracked since enumeration

✔ NPI 1215305933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP8131

4212 N 16TH ST, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Richardson Fnp-c 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 ID1850609942

PECOS Enrollment IDI20161221001516

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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Richardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Same address

Public Health or Welfare

4212 N 16TH ST
Phoenix, AZ 85016

Reassigned Medicare billing, Texas enrollment
599 clinicians in this Medicare group

NPI 1083643738 (602) 263-1200

Alliance Urgent Care PLLC

13 mi

Emergency Medical Services

9897 W. MCDOWELL RD
Tolleson, AZ 85353

Reassigned Medicare billing, Arizona enrollment
21 clinicians in this Medicare group

NPI 1891888517 (719) 268-5305

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

87 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)