KELLY LYNAE RICHARDSON PA-C
NPI 1760618730
Physician Assistant in Mesa, AZ
About Kelly Lynae Richardson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY LYNAE RICHARDSON PA-C (NPI 1760618730) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (7112) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Kelly Lynae Richardson Pa-c 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Richardson's NPI number?
The NPI number for Kelly Richardson is 1760618730. It was assigned to this individual provider in the NPPES registry on June 4, 2009.
Where is Kelly Richardson located?
Kelly Richardson practices at 5555 E Baseline Rd, Mesa, AZ 85206. The listed phone number is (480) 393-0575.
What is Kelly Richardson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelly Richardson enrolled in Medicare?
Yes. Kelly 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 Kelly Richardson accept?
Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kelly 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 Kelly Richardson was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
