MRS. EVONNE RENEE RICHARDSON FNP-C
NPI 1457875247
Nurse Practitioner - Family in Southfield, MI
About Mrs. Evonne Renee Richardson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. EVONNE RENEE RICHARDSON FNP-C (NPI 1457875247) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704235422) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
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 (PECOS)
Mrs. Evonne Renee Richardson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Evonne Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48203
- Reassigned Medicare billing, Michigan enrollment
- 23 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 48075 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
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 Evonne Richardson's NPI number?
The NPI number for Evonne Richardson is 1457875247. It was assigned to this individual provider in the NPPES registry on August 2, 2017.
Where is Evonne Richardson located?
Evonne Richardson practices at 20905 Greenfield Suite 406, Southfield, MI 48075. The listed phone number is (248) 513-8229.
What is Evonne Richardson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Evonne Richardson enrolled in Medicare?
Yes. Evonne Richardson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Evonne Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evonne Richardson reassigns Medicare benefits to Detroit Community Health Connection, Inc (Detroit, MI). 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 Evonne Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evonne Richardson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Evonne 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 Evonne Richardson was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Evonne Renee Richardson, FNP-C · NPI 1457875247
Family physician in Southfield, Michigan. Individual provider, active in the CMS NPPES registry since August 2, 2017.
## Identity
- **NPI:** 1457875247 (Entity type: Individual)
- **Enumerated:** August 2, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704235422 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 20905 GREENFIELD, SUITE 406, Southfield, MI 48075
- **Phone:** (248) 513-8229
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Detroit Community Health Connection, Inc (NPI 1851554034, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 22, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1457875247) · Data from the CMS NPPES public registry.