Rhiannon L Richards, DNP, APRN, GNP- BC

Individual provider Active NPI Gerontology Nurse Practitioner · Mapleton, IL

NPI 1063120897 · NPPES record last updated May 11, 2023

Key facts

NPI
1063120897
Entity type
Individual (NPI type 1)
Primary specialty
Gerontology Nurse Practitioner 363LG0600X
License
AG07220126 (IL)
Practice address
4823 S Valeta CT
Mapleton, IL 61547-9507
Phone
(618) 322-2702
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bespoke Psychiatry (51 clinicians)

Practice addresses (Care Compare)

1203 W Augusta Blvd
Chicago, IL 60642-4327
Phone (773) 248-2255

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100 (group)
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
76.91

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230523002432 IL Practitioner - Nurse Practitioner 5395101901 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
AG07220126ILMDGerontology Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG07220126 IL Yes

Addresses

Primary practice location

4823 S Valeta CT
Mapleton, IL 61547-9507

Mailing address

4823 S Valeta CT
Mapleton, IL 61547-9507
Phone (618) 322-2702

Other names

  • Rhiannon L Carel Former name

Other providers in Mapleton, IL

All providers in Mapleton, IL · Gerontology Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.