Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB DANIEL RICHARDSON PA-C
NPI 1770464620
Physician Assistant in East Lansing, MI

Q: What is Jacob Richardson's NPI number?

The NPI number for Jacob Richardson is 1770464620. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Q: What is Jacob Richardson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Richardson was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since September 09, 2025PECOS Enrolled

4660 S HAGADORN RD STE 420, EAST LANSING, MI 48823(517) 884-6100(517) 884-6233 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Sep 9, 2025 (2 updates tracked since 2025).

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About Jacob Daniel Richardson Pa-c NPPES

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

JACOB DANIEL RICHARDSON PA-C (NPI 1770464620) is an individual physician assistant in East Lansing, Michigan, licensed in Michigan (5601014329) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770464620

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACOB DANIEL RICHARDSONCredential: PA-C

Location Address4660 S HAGADORN RD STE 420East Lansing, MI 48823-5353

Mailing Address4660 S Hagadorn Rd Ste 420East Lansing, MI 48823-5353 · (517) 884-6100 · Fax (517) 884-6233

Phone(517) 884-6100

Fax(517) 884-6233

Sole ProprietorNo

Enumeration DateSeptember 9, 2025

Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration

NPPES CertifiedOctober 28, 2026

✔ NPI 1770464620 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 MI · 5601014329

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.

4660 S HAGADORN RD STE 420, East Lansing, MI 48823

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Daniel Richardson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48823 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 15

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

DR. NATHAN JAMES FITTON D.O.

Family Medicine (Sports Medicine)