DALE SHAQUILLE RICHARDSON PA-C
NPI 1245017540
Physician Assistant in Brandon, FL
About Dale Shaquille Richardson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALE SHAQUILLE RICHARDSON PA-C (NPI 1245017540) is an individual physician assistant in Brandon, Florida, licensed in Florida (PENDING) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Brandon Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dale Shaquille Richardson Pa-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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Brandon Hospital
Acute Care Hospitals · Brandon, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dale Richardson's NPI number?
The NPI number for Dale Richardson is 1245017540. It was assigned to this individual provider in the NPPES registry on September 11, 2023.
Where is Dale Richardson located?
Dale Richardson practices at 671 S Kings Ave, Brandon, FL 33511. The listed phone number is (813) 972-3750.
What is Dale Richardson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Dale Richardson enrolled in Medicare?
Yes. Dale 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.
Is Dale Richardson affiliated with any hospitals?
According to CMS data, Dale Richardson is affiliated with Hca Florida Brandon Hospital.
When was this NPI record last updated?
The NPPES record for Dale Richardson was last updated on September 11, 2023. 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.
# Dale Shaquille Richardson, PA-C · NPI 1245017540
Physician Assistant physician in Brandon, Florida. Individual provider, active in the CMS NPPES registry since September 11, 2023.
## Identity
- **NPI:** 1245017540 (Entity type: Individual)
- **Enumerated:** September 11, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PENDING (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 671 S KINGS AVE, Brandon, FL 33511-6048
- **Phone:** (813) 972-3750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245017540) · Data from the CMS NPPES public registry.