JACQULYN RICHARDSON
NPI 1285092445
Nurse Practitioner - Psychiatric/Mental Health in Pontiac, MI

Active since February 03, 2016PECOS EnrolledAccepts Medicare Assignment
1200 N TELEGRAPH RD, PONTIAC, MI 48341(248) 456-8150 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2025, Oct 6, 2023, Nov 23, 2022 and 1 more (4 updates tracked since 2016).

About Jacqulyn Richardson NPPES

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

JACQULYN RICHARDSON (NPI 1285092445) is an individual psychiatric/mental health provider in Pontiac, Michigan, licensed in Michigan (4704297693) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mount Clemens, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285092445
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQULYN RICHARDSON
Location Address1200 N TELEGRAPH RDPontiac, MI 48341-1032
Mailing Address1200 N Telegraph RdPontiac, MI 48341-1032 · (248) 456-8150 · Fax (810) 744-1306
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 3, 2016
Last NPPES UpdateFebruary 16, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
NPI 1285092445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 4704297693
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704297693 (MI)
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License 4704297693 (MI)
1200 N TELEGRAPH RD, Pontiac, MI 48341

Secondary Practice Location 1

Location 1175 N Groesbeck HwyMount Clemens, MI 48043-1562 · Phone (616) 301-8000

Accepted Insurance

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

Jacqulyn 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 ID244695963
PECOS Enrollment IDI20230503000572
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.

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 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.
36 services17 patients
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.
25 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Clinic/Center (Federally Qualified Health Center (FQHC))
1200 N TELEGRAPH RD, BUILDING 87
PONTIAC, MI 48341
Licensed Practical Nurse
1200 N TELEGRAPH RD
PONTIAC, MI 48341
Registered Nurse (Community Health)
1200 N TELEGRAPH RD
PONTIAC, MI 48341
Registered Nurse (Psychiatric/Mental Health)
1200 N TELEGRAPH RD
PONTIAC, MI 48341
Social Worker (Clinical)
1200 N TELEGRAPH RD
PONTIAC, MI 48341
Counselor (Mental Health)
1200 N TELEGRAPH RD, BUILDING 32E
PONTIAC, MI 48341
Psychiatric Residential Treatment Facility
1200 N TELEGRAPH RD, BLDG 32 EAST
PONTIAC, MI 48341
Nurse Practitioner (Primary Care)
1200 N TELEGRAPH RD
PONTIAC, MI 48341

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 Jacqulyn Richardson's NPI number?

The NPI number for Jacqulyn Richardson is 1285092445. It was assigned to this individual provider in the NPPES registry on February 3, 2016.

Where is Jacqulyn Richardson located?

Jacqulyn Richardson practices at 1200 N Telegraph Rd, Pontiac, MI 48341. The listed phone number is (248) 456-8150.

What is Jacqulyn Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacqulyn Richardson enrolled in Medicare?

Yes. Jacqulyn 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.

What insurance does Jacqulyn Richardson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Jacqulyn 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 Jacqulyn Richardson was last updated on February 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.