RENAE JENELLE RICHARDSON
NPI 1659045847
Nurse Practitioner in Kimberling City, MO
About Renae Jenelle Richardson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENAE JENELLE RICHARDSON (NPI 1659045847) is an individual nurse practitioner in Kimberling City, Missouri, licensed in Missouri (2021019189) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Other (2021).
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
Renae Jenelle Richardson 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 Reassignment
Medicare enrollment records show Renae Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Branson West, MO 65737
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1245277631 (Missouri)
- 1,487 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Lebanon
Acute Care Hospitals · Lebanon, MOMercy Hospital Springfield
Acute Care Hospitals · Springfield, MOMercy Hospital Aurora
Critical Access Hospitals · Aurora, MOMercy Hospital - Cassville
Critical Access Hospitals · Cassville, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KIMBERLING CITY, MO 65686
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 Renae Richardson's NPI number?
The NPI number for Renae Richardson is 1659045847. It was assigned to this individual provider in the NPPES registry on August 3, 2021.
Where is Renae Richardson located?
Renae Richardson practices at 11863 State Highway 13, Kimberling City, MO 65686. The listed phone number is (417) 739-1995.
What is Renae Richardson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Renae Richardson enrolled in Medicare?
Yes. Renae 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 organization bills Medicare for Renae Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renae Richardson reassigns Medicare benefits to Mercy Clinic Springfield Communities (Branson West, MO). 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 Renae Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Renae Richardson accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Renae 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.
Is Renae Richardson affiliated with any hospitals?
According to CMS data, Renae Richardson is affiliated with Mercy Hospital Lebanon, Mercy Hospital Springfield, Mercy Hospital Aurora and Mercy Hospital - Cassville.
When was this NPI record last updated?
The NPPES record for Renae Richardson was last updated on November 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Renae Jenelle Richardson · NPI 1659045847
Nurse Practitioner physician in Kimberling City, Missouri. Individual provider, active in the CMS NPPES registry since August 3, 2021.
## Identity
- **NPI:** 1659045847 (Entity type: Individual)
- **Enumerated:** August 3, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2021019189 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 11863 STATE HIGHWAY 13, Kimberling City, MO 65686-8362
- **Phone:** (417) 739-1995
## 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:** Mercy Clinic Springfield Communities (NPI 1952437675, Branson West, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659045847) · Data from the CMS NPPES public registry.