DR. MARILYN R RICHARDSON GYN
NPI 1790707529
Specialist in Shawnee, KS

Active since July 24, 2006Opted out of Medicare · through Oct 31, 2026
12616 W 62ND TER, SHAWNEE, KS 66216(913) 631-0277(913) 268-4337 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marilyn R Richardson Gyn NPPES

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

DR. MARILYN R RICHARDSON GYN (NPI 1790707529) is an individual specialist in Shawnee, Kansas and active in the NPI registry since July 2006. She has opted out of Medicare through October 31, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790707529
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. MARILYN R RICHARDSONCredential: GYN
Location Address12616 W 62ND TERShawnee, KS 66216-1814
Mailing Address12616 W 62nd TerShawnee, KS 66216-1814 · (913) 631-0277 · Fax (913) 268-4337
Fax(913) 268-4337
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1790707529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12616 W 62ND TER, Shawnee, KS 66216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Marilyn R Richardson Gyn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 31, 2016 through October 31, 2026.

Opt-Out Effective DateOctober 31, 2016
Opt-Out In Effect ThroughOctober 31, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

Durable Medical Equipment & Medical Supplies (Customized Equipment)
12616 W 62ND TER, STE A-115A
SHAWNEE, KS 66216
Specialist
12616 W 62ND TER
SHAWNEE MISSION, KS 66216
Occupational Therapist
12616 W 62ND TER, SUITE 116B
SHAWNEE, KS 66216
Durable Medical Equipment & Medical Supplies
12616 W 62ND TER, SUITE 116
SHAWNEE, KS 66216

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 Marilyn Richardson's NPI number?

The NPI number for Marilyn Richardson is 1790707529. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Marilyn Richardson located?

Marilyn Richardson practices at 12616 W 62nd Ter, Shawnee, KS 66216. The listed phone number is (913) 631-0277.

What is Marilyn Richardson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Marilyn Richardson enrolled in Medicare?

No. Marilyn Richardson has opted out of Medicare through October 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marilyn Richardson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.