Individual provider Active NPI

Katelyn A Richer, CNM

  • Advanced Practice Midwife
  • Concord, MA
National Provider Identifier
1013650795
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN10003018 Issued in MA
Practice address
59 Ornac
Concord, MA 01742-3317
Phone
(978) 369-7627
NPI assigned
Apr 19, 2022
Reactivated
Oct 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 236246 CA
Advanced Practice Midwife 367A00000X RN10003018 MA Primary

Addresses

Primary practice location

59 Ornac
Concord, MA 01742-3317

Mailing address

59 Ornac
Concord, MA 01742-3317
Phone (978) 369-7627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815001832 MA Practitioner - Certified Nurse Midwife (CNM) 7315334661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Yale University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

59 Old Rd to 9 Acre Cor
Suite 1
Concord, MA 01742

59 Ornac
Suite 1
Concord, MA 01742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Concord OB/GYN Associates PC CurrentSince Jun 7, 2025 Accepting new patients
Premier Diagnostic Services, Inc PastSince Oct 20, 2024 Accepting new patients

Locations

59 Old Road To 9 Acre Cor
Concord, MA 01742
Phone (978) 287-8767

59 Old Road To 9 Acre Cor
#1
Concord, MA 01742
Phone (978) 369-7627

490 Boston Post Rd
Ste 2003C
Sudbury, MA 01776

490 Boston Post Rd
Ste 2003
Sudbury, MA 01776

133 Littleton Rd
Ste 204
Westford, MA 01886
Phone (978) 371-1396

Organizations & group practices 2

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1013650795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ORNAC",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423317",
            "telephone_number": "978-369-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ORNAC",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423317",
            "telephone_number": "978-369-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHER",
        "first_name": "KATELYN",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "deactivation_date": "2024-10-08",
        "reactivation_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236246",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN10003018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.