DEDRA ANN RICHARDSON APRN
NPI 1457801797
Nurse Practitioner - Family in Viola, AR
About Dedra Ann Richardson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEDRA ANN RICHARDSON APRN (NPI 1457801797) is an individual family provider in Viola, Arkansas, licensed in Arkansas (A004927) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dedra Ann Richardson Aprn 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 Reassignments
4Medicare enrollment records show Dedra Richardson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Viola, AR 72583
- Reassigned Medicare billing, Arkansas enrollment
- 150 clinicians in this Medicare group
Salem, AR 72576
- Reassigned Medicare billing, Arkansas enrollment
- 82 clinicians in this Medicare group
Cave City, AR 72521
- Reassigned Medicare billing, Arkansas enrollment
- 117 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arkansas enrollment
- 354 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 72583 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
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 Dedra Richardson's NPI number?
The NPI number for Dedra Richardson is 1457801797. It was assigned to this individual provider in the NPPES registry on October 11, 2016.
Where is Dedra Richardson located?
Dedra Richardson practices at 9798 Highway 62 W, Viola, AR 72583. The listed phone number is (870) 458-6732.
What is Dedra Richardson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dedra Richardson enrolled in Medicare?
Yes. Dedra 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 organizations bill Medicare for Dedra Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dedra Richardson reassigns Medicare benefits to 4 organizations: Access Medical Clinic Arkansas LLC (Viola, AR), Bradley Bibb MD PLLC (Salem, AR), Access Medical Clinic Arkansas Ltc LLC (Cave City, AR) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Dedra Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dedra Richardson accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Dedra 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 Dedra Richardson was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dedra Ann Richardson, APRN · NPI 1457801797
Family physician in Viola, Arkansas. Individual provider, active in the CMS NPPES registry since October 11, 2016.
## Identity
- **NPI:** 1457801797 (Entity type: Individual)
- **Enumerated:** October 11, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** A004927 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9798 HIGHWAY 62 W, Viola, AR 72583-6001
- **Phone:** (870) 458-6732
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Access Medical Clinic Arkansas LLC (NPI 1346869419, Viola, AR); Bradley Bibb MD PLLC (NPI 1568200061, Salem, AR); Access Medical Clinic Arkansas Ltc LLC (NPI 1417563321, Cave City, AR); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457801797) · Data from the CMS NPPES public registry.