Individual provider Active NPI

Mary Darleen Richardson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1013318211
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0814690 Issued in NJ
Practice address
9000 Woodyard Rd
Clinton, MD 20735-4206
Phone
(240) 546-3428
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X RN1035180 DC
Family Nurse Practitioner 363LF0000X F0814690 NJ Primary

Addresses

Primary practice location

9000 Woodyard Rd
Clinton, MD 20735-4206

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other identifiers 1

IdentifierTypeStateIssuer
1013318211MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150106001941 DC Practitioner - Nurse Practitioner 7012230667 Reassigns benefits to 3 organizations
I20180108001444 MD Practitioner - Nurse Practitioner 7012230667 Reassigns benefits to 1 organization
I20180612001143 VA Practitioner - Nurse Practitioner 7012230667 Reassigns benefits to 1 organization
I20250219002557 TN Practitioner - Nurse Practitioner 7012230667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Community Health Services Inc.Group PAC ID 3870402084, 61 clinicians

Practice addresses (Care Compare)

3362 S 3Rd St
Memphis, TN 38109-2944
Phone (901) 271-6300

969 Frayser Blvd
Memphis, TN 38127-5977
Phone (901) 260-8400

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0814690NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc CurrentSince Dec 9, 2024 Accepting new patients
Inova Ucc LLC CurrentSince Sep 24, 2023 Accepting new patients
CRH MD Management LLC CurrentSince Sep 10, 2022 Accepting new patients
CRH MD Management, LLC CurrentSince Sep 10, 2022 Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince May 4, 2024 Accepting new patients
Unity Health Care, Inc. CurrentSince Nov 8, 2014 Accepting new patients
Christ Community Health Services Inc CurrentSince Dec 9, 2024 Accepting new patients
Christ Community Health Services Inc Current Accepting new patients
Unity Health Care Inc. CurrentSince Nov 8, 2014 Accepting new patients
Christ Community Health Services Inc Past Accepting new patients
Christ Community Health Services Inc Past Accepting new patients

Locations

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

590 Lanier Ave W
Fayetteville, GA 30214

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

1211 Liberty Rd
Sykesville, MD 21784
Phone (410) 617-9129

3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

2569 Douglass Ave
Memphis, TN 38114
Phone (901) 271-6200

1325 Jefferson Ave
Memphis, TN 38104
Phone (901) 701-2530

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

2670 Union Avenue Ext
Ste 1000
Memphis, TN 38112
Phone (901) 842-3160

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

4101 Dominion Blvd
Glen Allen, VA 23060
Phone (804) 747-5555

4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060
Phone (804) 747-5555

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

1488 Northpoint Village Ctr
Reston, VA 20194
Phone (571) 525-5850

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCIAD
  • Direct secure messaging: mary.richardson@778128272654340.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJJDAA

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1013318211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354206",
            "telephone_number": "240-546-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MARY",
        "middle_name": "DARLEEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "DC",
            "license": "RN1035180",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "F0814690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013318211",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.