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JORDAN P RICHARDSON MD
NPI 1447143763
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since June 03, 2025PECOS Enrolled
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jordan P Richardson Md NPPES

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

JORDAN P RICHARDSON MD (NPI 1447143763) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447143763
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN P RICHARDSONCredential: MD
Location Address640 JACKSON STSaint Paul, MN 55101-2595
Mailing Address640 Jackson StSaint Paul, MN 55101-2595 · (651) 254-3456
Phone(651) 254-3456
Sole ProprietorNo
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1447143763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

640 JACKSON ST, Saint Paul, MN 55101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

MS. RUTH ELLEN LINDEMAN PA-C
Physician Assistant
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-2779
DR. GREG A BROWN M.D., PH.D.
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-1514
DANIEL M GOLDBLATT MD
Family Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (123) 123-1234
ZHONG ZHAO MD
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Ramsey County (651) 254-9594
AMY P BARGER MD
Internal Medicine
640 JACKSON ST
ST PAUL, MN 55101
Ramsey County (952) 883-6181
RICHARD J HILGER MD
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Ramsey County (651) 254-9594
JAMES M RISSER MD
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Ramsey County (651) 254-9594
THOMAS J YACOVELLA MD
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (123) 123-1234

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 Jordan Richardson's NPI number?

The NPI number for Jordan Richardson is 1447143763. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Jordan Richardson located?

Jordan Richardson practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Jordan Richardson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Richardson enrolled in Medicare?

Yes. Jordan Richardson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Richardson was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.