Jessica Rae Richardson, APRN-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11003070 Issued in FL

Practice address

5575 E Sr 44
Wildwood, FL 34785-8282

Phone

(352) 571-4418

NPI assigned

Sep 24, 2018

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as individual

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Cardiovascular Institute of Central Florida, LLC

  • Specialist
  • Ocala, FL
  • NPI 1679666598
  Medicare reassignment NPD
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1407472723
  Medicare reassignment NPD
• Cardiovascular Institute of Central Florida, LLC

  dba CVI Cardiac Rehab Center

  • Cardiac Rehabilitation Clinic/Center
  • Ocala, FL
  • NPI 1457166571
  NPD
• Pilot Point Family Practice Management Inc.

  • Family Medicine Physician
  • Pilot Point, TX
  • NPI 1447617741
  NPD (past)
• Pilot Point Medical Clinic, P.a.

  • Primary Care Clinic/Center
  • Pilot Point, TX
  • NPI 1962424846
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1013491224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524716",
            "telephone_number": "352-726-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 E SR 44",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858282",
            "telephone_number": "352-571-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11003070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104084900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sagar Ranka, M.D.
• Eric Noland Reams, LHAS
• Red Mountain Emergency Physicians LLC
• Red Mountain Emergency Physicians LLC
• Renaissance Hearing Center, LLC (Renaissance Hearing Center)
• Sara Rifai
• Rissan Inc (Safescript Pharmacy)
• Lori Ann Roames
• Anthony Roberts
• Kristoffer Michael Roberts

• Nurse Practitioner in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.