Kristen Richardson, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00183 Issued in MS

Practice address

108 Belle Meade PT
Flowood, MS 39232-3308

Phone

(601) 992-7002

NPI assigned

Feb 14, 2014

Sex

Female

Sole proprietor

Yes

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.

• David B Roy DO PA

  • MOHS-Micrographic Surgery Physician
  • Petal, MS
  • NPI 1194124834

  MS

  Medicare reassignment Care Compare group
• Belle Meade Medical LLC

  • Medical Specialty Clinic/Center
  • Flowood, MS
  • NPI 1730109240

  MS

  Medicare reassignment
• Madison Medical Rheumatology, LLC

  • Rheumatology Physician
  • Madison, MS
  • NPI 1649686395
  NPD (past)
• Pine Belt Dermatology and Skin Cancer Center

  • MOHS-Micrographic Surgery Physician
  • Petal, MS
  • NPI 1497159453
  NPD (past)

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David B Roy DO PA 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.05 of 100Reported as group

Quality

81.89

Promoting interoperability

100

Improvement activities

40

Cost

71.62

Medicare fee-for-service enrollment

Enrolled in MS

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kristen.richardson@mea.eclinicaldirectplus.com
• Direct secure messaging: kristenr@pinebeltdermatology.emadirect.md

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2015.

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1043634702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BELLE MEADE PT",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323308",
            "telephone_number": "601-992-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BELLE MEADE PT",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323308",
            "telephone_number": "601-992-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KRISTEN",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa N Reynolds, LCSW
• Rebekah Celeste Reynolds, NP-C
• George Jeffrey Rhoden
• Nicole Rhoden, CRNA
• David D Richardson, MD
• Marc Allen Richardson, M.D.
• William Tobias Riley, LPC-S
• Sara W. Rippel, MD
• River Bend Medical Clinic, Inc
• River Oaks Hospital LLC

• All providers in Flowood, MS
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.