KATRINA NOELLE RICHARD PA
NPI 1669642849
Physician Assistant in Bentonville, AR

Active since March 04, 2008PECOS EnrolledAccepts Medicare Assignment
3101 SE 14TH ST, BENTONVILLE, AR 72712(479) 250-1053(479) 250-0923 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katrina Noelle Richard Pa NPPES

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

KATRINA NOELLE RICHARD PA (NPI 1669642849) is an individual physician assistant in Bentonville, Arkansas, licensed in Arkansas (PA-266) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1669642849
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATRINA NOELLE RICHARDCredential: PA
Location Address3101 SE 14TH STBentonville, AR 72712-4900
Mailing Address3101 Se 14th StBentonville, AR 72712-4900 · (479) 250-1053 · Fax (479) 250-0923
Fax(479) 250-0923
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 4, 2008
Last NPPES UpdateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
NPI 1669642849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AR · PA-266
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3101 SE 14TH ST, Bentonville, AR 72712

Secondary Practice Location 1

Location 11125 N College AveFayetteville, AR 72703-1908 · Phone (479) 713-7010

Accepted Insurance

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

Katrina Noelle Richard Pa 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 ID9830569524
PECOS Enrollment IDI20221220002853
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics (Adolescent Medicine)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Family Medicine
3101 SE 14TH ST
BENTONVILLE, AR 72712
Pediatrics (Adolescent Medicine)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Family Medicine
3101 SE 14TH ST
BENTONVILLE, AR 72712
Pediatrics (Adolescent Medicine)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Pediatrics (Adolescent Medicine)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Nurse Practitioner (Family)
3101 SE 14TH ST
BENTONVILLE, AR 72712
Pediatrics (Adolescent Medicine)
3101 SE 14TH ST
BENTONVILLE, AR 72712

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 Katrina Richard's NPI number?

The NPI number for Katrina Richard is 1669642849. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Katrina Richard located?

Katrina Richard practices at 3101 SE 14th St, Bentonville, AR 72712. The listed phone number is (479) 250-1053.

What is Katrina Richard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katrina Richard enrolled in Medicare?

Yes. Katrina 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.

What insurance does Katrina Richard accept?

Health plans from Medica list Katrina Richard 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 Katrina Richard was last updated on December 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.