DR. MARTIN PAUL RICHARD MD
NPI 1558034520
Student in an Organized Health Care Education/Training Program in Rice Lake, WI

Active since July 27, 2021PECOS EnrolledAccepts Medicare Assignment
1700 W STOUT ST, RICE LAKE, WI 54868(715) 326-6291 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Jul 27, 2021 (2 updates tracked since 2021).

About Dr. Martin Paul Richard Md NPPES

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

DR. MARTIN PAUL RICHARD MD (NPI 1558034520) is an individual student in an organized health care education/training program in Rice Lake, Wisconsin, licensed in Wisconsin (84142-20) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Gulf Coast Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558034520
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARTIN PAUL RICHARDCredential: MD
Location Address1700 W STOUT STRice Lake, WI 54868-5000
Mailing Address300 W Oak St Ste 200Carbondale, IL 62901-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 27, 2021
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1558034520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in WI · 84142-20
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 01098080A (IN), 78625 (AZ), 036.177378 (IL), 0101286697 (VA), MD492361C (PA), ME177333 (FL), 75901 (TN), W1669 (TX), CDR.0005937 (CO)
1700 W STOUT ST, Rice Lake, WI 54868

Secondary Practice Locations 2

Location 1300 W Oak St Ste 200Carbondale, IL 62901-1400 · Phone (618) 536-6221
Location 2300 W Oak StCarbondale, IL 62901-1400 · Phone (618) 536-6621

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

Dr. Martin Paul Richard Md 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 ID9436557519
PECOS Enrollment IDI20251224000199
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

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.

Otolaryngology
1700 W STOUT ST
RICE LAKE, WI 54868
Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Obstetrics & Gynecology
1700 W STOUT ST
RICE LAKE, WI 54868
Occupational Therapist
1700 W STOUT ST
RICE LAKE, WI 54868
Nurse Practitioner (Family)
1700 W STOUT ST
RICE LAKE, WI 54868
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 W STOUT ST
RICE LAKE, WI 54868
Emergency Medicine
1700 W STOUT ST
RICE LAKE, WI 54868

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 Martin Richard's NPI number?

The NPI number for Martin Richard is 1558034520. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Martin Richard located?

Martin Richard practices at 1700 W Stout St, Rice Lake, WI 54868. The listed phone number is (715) 326-6291.

What is Martin Richard's specialty?

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

Is Martin Richard enrolled in Medicare?

Yes. Martin Richard 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.

Is Martin Richard affiliated with any hospitals?

According to CMS data, Martin Richard is affiliated with Hca Florida Gulf Coast Hospital.

When was this NPI record last updated?

The NPPES record for Martin Richard was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.