KIM M. RICHARDS NPP & FNP
NPI 1245503234
Nurse Practitioner - Psychiatric/Mental Health in Canton, NY
About Kim M. Richards Npp & Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM M. RICHARDS NPP & FNP (NPI 1245503234) is an individual psychiatric/mental health provider in Canton, New York, licensed in New York (40401381) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
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
Kim M. Richards Npp & Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kim Richards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Watertown, NY 13601
- Reassigned Medicare billing, New York enrollment
- 10 clinicians in this Medicare group
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 13617 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANTON, NY 13617
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 Kim Richards's NPI number?
The NPI number for Kim Richards is 1245503234. It was assigned to this individual provider in the NPPES registry on February 21, 2012. The provider is also known as Kim Todd Npp & Fnp.
Where is Kim Richards located?
Kim Richards practices at 4 Commerce Ln, Canton, NY 13617. The listed phone number is (315) 386-8191.
What is Kim Richards's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kim Richards enrolled in Medicare?
Yes. Kim Richards 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 Kim Richards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Richards reassigns Medicare benefits to Thrive Wellness And Recovery, Inc (Watertown, NY). 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 Kim Richards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kim Richards was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kim M. Richards, NPP & FNP · NPI 1245503234
Psychiatric/Mental Health physician in Canton, New York. Individual provider, active in the CMS NPPES registry since February 21, 2012.
## Identity
- **NPI:** 1245503234 (Entity type: Individual)
- **Enumerated:** February 21, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 40401381 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 COMMERCE LN, Canton, NY 13617-3739
- **Phone:** (315) 386-8191 · **Fax:** (315) 386-1410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Thrive Wellness And Recovery, Inc (NPI 1659389021, Watertown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** February 27, 2013
- **Other identifiers:** Medicare PIN AA0564 (NY); Medicaid 01995615 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1245503234) · Data from the CMS NPPES public registry.