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

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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

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 ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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

Olivia Richardson 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Olivia Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cabin Creek Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
107 KOONTZ AVE., SUITE 200
Clendenin, WV 25045
  • Reassigned Medicare billing, West Virginia enrollment
  • 74 clinicians in this Medicare group
NPI 1437199742 (304) 548-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Kanawha County (304) 548-2160
RACHAEL D. MITCHELL PA-C
Physician Assistant (Medical)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Kanawha County (304) 548-7272
SHAWNA MARIE LUSK APRN-CNP (FNP)
Nurse Practitioner (Family)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Kanawha County (304) 548-7272
CLENDENIN HEALTH CENTER LAB
Clinic/Center (Federally Qualified Health Center (FQHC))
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Kanawha County (304) 734-2040
CHELSEA AGNEW PA
Physician Assistant
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Kanawha County (304) 548-7272
MRS. JESSYCA RICH MA, LPC
Counselor (Mental Health)
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Kanawha County (304) 548-7272
CHRISTOPHER MUSIL DO
Family Medicine
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Kanawha County (304) 548-7272
CHAVA ZEMIRAH URECKI PSY.D.
Psychologist
107 KOONTZ AVE STE 200
CLENDENIN, WV 25045
Kanawha County (304) 548-7272

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 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.

Where is Olivia Richardson located?

Olivia Richardson practices at 107 Koontz Ave Ste 200, Clendenin, WV 25045. The listed phone number is (304) 548-7272.

What is Olivia Richardson's specialty?

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

Is Olivia Richardson enrolled in Medicare?

Yes. Olivia Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Olivia Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Richardson reassigns Medicare benefits to Cabin Creek Health Center, Inc. (Clendenin, WV). The 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 Olivia Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olivia Richardson accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Olivia Richardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 7 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.