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CONNOR JAMES RICHARDSON PA
NPI 1750018164
Physician Assistant - Medical in Prineville, OR

Active since August 04, 2022PECOS EnrolledAccepts Medicare Assignment
384 SE COMBS FLAT RD STE 1200, PRINEVILLE, OR 97754(541) 447-6263 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2024, Aug 4, 2022 (2 updates tracked since 2022).

About Connor James Richardson Pa NPPES

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

CONNOR JAMES RICHARDSON PA (NPI 1750018164) is an individual medical provider in Prineville, Oregon, licensed in Oregon (PA221451) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750018164
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCONNOR JAMES RICHARDSONCredential: PA
Location Address384 SE COMBS FLAT RD STE 1200Prineville, OR 97754-2562
Mailing AddressPo Box 6095Bend, OR 97708-6095
Phone(541) 447-6263
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 4, 2022
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1750018164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA221451
Also ListedPhysician AssistantTaxonomy 363A00000X
384 SE COMBS FLAT RD STE 1200, Prineville, OR 97754
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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

Connor James Richardson 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 ID1658805874
PECOS Enrollment IDI20241111003700
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 2

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381313
Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County
Emergency services

Other Providers at the Same Location NPPES 17

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

GINA PEACH FNP
Nurse Practitioner (Family)
384 SE COMBS FLAT RD STE 1200
PRINEVILLE, OR 97754
Crook County (541) 447-6263
AMBER MARIE TOOMEY FNP-C
Nurse Practitioner (Family)
384 SE COMBS FLAT RD STE 1200
PRINEVILLE, OR 97754
Crook County (541) 447-6263
DR. ANH NGUYEN DO
Family Medicine
384 SE COMBS FLAT RD STE 1200
PRINEVILLE, OR 97754
Crook County (541) 447-6254
AMANPREET KAUR PA
Physician Assistant
384 SE COMBS FLAT RD STE 1200
PRINEVILLE, OR 97754
Crook County (541) 447-6263
SHANNON K BRASHER PA-C
Physician Assistant
384 SE COMBS FLAT RD STE 1200
PRINEVILLE, OR 97754
Crook County (541) 447-6263
BRIAN DOUGLAS AUGUSTYN
Psychologist
384 SE COMBS FLAT RD STE 1200
PRINEVILLE, OR 97754
Crook County (541) 447-6263
CHRISTOPHER BRUBAKER MD
Family Medicine
384 SE COMBS FLAT RD STE 1200
PRINEVILLE, OR 97754
Crook County (541) 447-6263
DR. MATTHEW STEPHEN GIORDANENGO D.O.
Family Medicine
384 SE COMBS FLAT RD STE 1200
PRINEVILLE, OR 97754
Crook County (541) 447-6263

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 Connor Richardson's NPI number?

The NPI number for Connor Richardson is 1750018164. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Connor Richardson located?

Connor Richardson practices at 384 SE Combs Flat Rd Ste 1200, Prineville, OR 97754. The listed phone number is (541) 447-6263.

What is Connor Richardson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Connor Richardson enrolled in Medicare?

Yes. Connor 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.

What insurance does Connor Richardson accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Connor 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 Connor Richardson affiliated with any hospitals?

According to CMS data, Connor Richardson is affiliated with St Charles Medical Center - Bend and St Charles Medical Center Prineville.

When was this NPI record last updated?

The NPPES record for Connor Richardson was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.