TRAVIS RICHARDSON NP
NPI 1821711839
Nurse Practitioner - Family in Port Huron, MI

Active since September 23, 2022PECOS EnrolledAccepts Medicare Assignment
2603 ELECTRIC AVE, PORT HURON, MI 48060(810) 987-1000 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, Sep 23, 2022 (2 updates tracked since 2022).

About Travis Richardson Np NPPES

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

TRAVIS RICHARDSON NP (NPI 1821711839) is an individual family provider in Port Huron, Michigan, licensed in Michigan (4704307930) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1821711839
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTRAVIS RICHARDSONCredential: NP
Location Address2603 ELECTRIC AVEPort Huron, MI 48060-6588
Mailing Address3775 Pollina AveFort Gratiot, MI 48059-4140
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 23, 2022
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
NPI 1821711839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704307930
2603 ELECTRIC AVE, Port Huron, MI 48060

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

Travis Richardson Np 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 ID9436511664
PECOS Enrollment IDI20230818002499
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.

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 13

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

Physical Medicine & Rehabilitation
2603 ELECTRIC AVE, SUITE 6
PORT HURON, MI 48060
Family Medicine
2603 ELECTRIC AVE, SUITE 3
PORT HURON, MI 48060
Internal Medicine (Geriatric Medicine)
2603 ELECTRIC AVE, #1
PORT HURON, MI 48060
Surgery
2603 ELECTRIC AVE, SUITE C
PORT HURON, MI 48060
Internal Medicine (Nephrology)
2603 ELECTRIC AVE, SUITE 1
PORT HURON, MI 48060
Physical Medicine & Rehabilitation
2603 ELECTRIC AVE, SUITE #6
PORT HURON, MI 48060
Surgery (Vascular Surgery)
2603 ELECTRIC AVE, SUITE A
PORT HURON, MI 48060
Nurse Practitioner (Family)
2603 ELECTRIC AVE, SUITE 1
PORT HURON, MI 48060

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 Travis Richardson's NPI number?

The NPI number for Travis Richardson is 1821711839. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Travis Richardson located?

Travis Richardson practices at 2603 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 987-1000.

What is Travis Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Travis Richardson enrolled in Medicare?

Yes. Travis 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 Travis Richardson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Travis 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 Travis Richardson affiliated with any hospitals?

According to CMS data, Travis Richardson is affiliated with Lake Huron Medical Center and Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Travis Richardson was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.