OLIVIA RICHARDSON
NPI 1225482250
Nurse Practitioner - Family in Clendenin, WV

Q: What is Olivia Richardson's NPI number?

The NPI number for Olivia Richardson is 1225482250. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Q: What is Olivia 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 Olivia Richardson was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 April 15, 2016PECOS Enrolled

107 KOONTZ AVE STE 200, CLENDENIN, WV 25045(304) 548-7272(888) 987-8014 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Jan 9, 2026 (2 updates tracked since 2026).

On this page

About Olivia Richardson NPPES

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

OLIVIA RICHARDSON (NPI 1225482250) is an individual family provider in Clendenin, West Virginia, licensed in West Virginia (110586) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1225482250

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameOLIVIA RICHARDSON

Location Address107 KOONTZ AVE STE 200Clendenin, WV 25045-9581

Mailing Address104 Alex LnCharleston, WV 25304-2952 · (304) 734-2040 · Fax (304) 734-2047

Phone(304) 548-7272

Fax(888) 987-8014

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 15, 2016

Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1225482250 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 WV · 110586

107 KOONTZ AVE STE 200, Clendenin, WV 25045

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Richardson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234613910

PECOS Enrollment IDI20260320000243

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 25045 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 14

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

DR. CAITLYN ELIZABETH NELSON D.D.S

Dentist (General Practice)