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JACKSON ROYAL RICHARDS MD, PHD
NPI 1972244655
Psychiatry & Neurology - Psychiatry in South Salt Lake, UT

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
955 W 3300 S, SOUTH SALT LAKE, UT 84119(801) 583-2500 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2022, Apr 5, 2022 (2 updates tracked since 2022).

About Jackson Royal Richards Md, Phd NPPES

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

JACKSON ROYAL RICHARDS MD, PHD (NPI 1972244655) is an individual psychiatry provider in South Salt Lake, Utah, licensed in Iowa (R-12525) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2022).

NPPES Registry Identity

NPI1972244655
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJACKSON ROYAL RICHARDSCredential: MD, PHD
Location Address955 W 3300 SSouth Salt Lake, UT 84119-3325
Mailing Address10954 S Coastal Dune DrSouth Jordan, UT 84009-4706 · (319) 356-1373
Phone(801) 583-2500
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1972244655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IA · R-12525
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
955 W 3300 S, South Salt Lake, UT 84119
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackson Royal Richards Md, Phd 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 ID9739560335
PECOS Enrollment IDI20240920000511, I20260625004144
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jackson Richards reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Behavioral Health Services
3.0 mi
Developmental - Behavioral Pediatrics
51 W 3900 S
Salt Lake City, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
NPI 1952751513 (801) 587-6336
University Of Utah Acuity Care Services
5.0 mi
Neurological Surgery
175 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 338 clinicians in this Medicare group
NPI 1316341456 (801) 585-7575
Iowa Physicians Clinic Medical Foundation
836 mi
Rural Health
111 MAIN ST
Kingsley, IA 51028
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1659263523 (712) 378-2921
Central Iowa Hospital Corporation
947 mi
Surgery
6000 UNIVERSITY AVE, STE 300
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 545 clinicians in this Medicare group
NPI 1194776997 (515) 241-2250
St Lukes Methodist Hospital
1,054 mi
Obstetrics
4251 RIVER CENTER CT NE
Cedar Rapids, IA 52402
  • Reassigned Medicare billing, Iowa enrollment
  • 166 clinicians in this Medicare group
NPI 1003017153 (319) 369-7512

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84119 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 8

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

GARRETT ROBERT HAMILTON CSW
Social Worker (Clinical)
955 W 3300 S
SOUTH SALT LAKE, UT 84119
Salt Lake County (801) 646-8147
LAURIE MILLER LCSW
Social Worker (Clinical)
955 W 3300 S
SOUTH SALT LAKE, UT 84119
Salt Lake County (801) 646-8300
HAYLEY MARIE MCLAUGHLIN
Registered Nurse
955 W 3300 S
SOUTH SALT LAKE, UT 84119
Salt Lake County (801) 646-8170
JENNIFER ANN GONZALEZ APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
955 W 3300 S
SOUTH SALT LAKE, UT 84119
Salt Lake County (801) 583-2500
GIOVANNA HART
Social Worker (Clinical)
955 W 3300 S
SOUTH SALT LAKE, UT 84119
Salt Lake County (801) 646-8147
UNIVERSITY OF UTAH
Clinic/Center (Multi-Specialty)
955 W 3300 S
SOUTH SALT LAKE, UT 84119
Salt Lake County (801) 583-2500
JODIE LYNN REINER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
955 W 3300 S
SOUTH SALT LAKE, UT 84119
Salt Lake County (801) 583-2500
ERIN NICOLE ZARING
Registered Nurse
955 W 3300 S
SOUTH SALT LAKE, UT 84119
Salt Lake County (801) 646-8131

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 Jackson Richards's NPI number?

The NPI number for Jackson Richards is 1972244655. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Jackson Richards located?

Jackson Richards practices at 955 W 3300 S, South Salt Lake, UT 84119. The listed phone number is (801) 583-2500.

What is Jackson Richards's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jackson Richards enrolled in Medicare?

Yes. Jackson Richards 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.

Which organizations bill Medicare for Jackson Richards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Richards reassigns Medicare benefits to 5 organizations: University Of Utah Behavioral Health Services (Salt Lake City, UT), University Of Utah Acuity Care Services (Salt Lake City, UT), Iowa Physicians Clinic Medical Foundation (Kingsley, IA), Central Iowa Hospital Corporation (West Des Moines, IA) and St Lukes Methodist Hospital (Cedar Rapids, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackson Richards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackson Richards accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Jackson Richards 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 Jackson Richards was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.