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DR. JORDAN RICHARDSON DPM
NPI 1467039925
Student in an Organized Health Care Education/Training Program in Murray, UT

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
5169 S COTTONWOOD ST STE 303, MURRAY, UT 84107(800) 548-6672 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 25, 2024, May 3, 2021 (2 updates tracked since 2021).

About Dr. Jordan Richardson Dpm NPPES

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

DR. JORDAN RICHARDSON DPM (NPI 1467039925) is an individual student in an organized health care education/training program in Murray, Utah and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2021).

NPPES Registry Identity

NPI1467039925
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JORDAN RICHARDSONCredential: DPM
Location Address5169 S COTTONWOOD ST STE 303Murray, UT 84107-6768
Mailing Address17326 E Brooks Farm RdGilbert, AZ 85298-8805 · (480) 707-2393
Phone(800) 548-6672
Sole ProprietorNo
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1467039925 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.
5169 S COTTONWOOD ST STE 303, Murray, UT 84107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, UnitedHealthcare.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

Dr. Jordan Richardson Dpm 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 ID4789120403
PECOS Enrollment IDI20240718001124
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jordan Richardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kelvin S Crezee DPM PC
507 mi
Foot & Ankle Surgery
15810 S 45TH ST STE 190
Phoenix, AZ 85048
  • Reassigned Medicare billing, Arizona enrollment
  • 4 clinicians in this Medicare group
NPI 1689793895 (480) 893-1090
Traction Podiatry Group
509 mi
Sports Medicine
3750 S VAL VISTA DR STE 104
Gilbert, AZ 85297
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1780385005 (214) 383-8360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANCE HANSEN
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Salt Lake County (801) 507-3747
ADAM TONKS DPM
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Salt Lake County (801) 507-7000
CALVIN BUCK
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Salt Lake County (801) 507-3747
CONNOR REED DPM
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Salt Lake County (402) 649-7460
SPENCER DYER MD
Radiology (Diagnostic Radiology)
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Salt Lake County (801) 507-3750
KEANYN THOMAS SKINFILL DPM
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Salt Lake County (801) 507-3747
CHRISTIAN SMITH
Podiatrist (Foot & Ankle Surgery)
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Salt Lake County (800) 548-6672
ETHAN R WARNOCK DPM
Student in an Organized Health Care Education/Training Program
5169 S COTTONWOOD ST STE 303
MURRAY, UT 84107
Salt Lake County (801) 507-7000

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 1467039925. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Jordan Richardson located?

Jordan Richardson practices at 5169 S Cottonwood St Ste 303, Murray, UT 84107. The listed phone number is (800) 548-6672.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jordan Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Richardson reassigns Medicare benefits to 2 organizations: Kelvin S Crezee DPM PC (Phoenix, AZ) and Traction Podiatry Group (Gilbert, AZ). 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 Jordan Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Richardson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and UnitedHealthcare list Jordan 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 Jordan Richardson was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.