Individual provider Active NPI

Haley C Richardson

  • Physician Assistant
  • Jeffersonville, IN
National Provider Identifier
1104454768
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003008A Issued in IN
Practice address
1220 Spring St
Jeffersonville, IN 47130-3704
Phone
(812) 282-8494
Fax
(812) 288-4481
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X TC165 KY
Physician Assistant 363A00000X 10003008A IN Primary

Addresses

Primary practice location

1220 Spring St
Jeffersonville, IN 47130-3704

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

9408 Tunnel Mill Rd
Marysville, IN 47141-9721
Phone (812) 207-8212

Other practice location 2

550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 355-6900

Other practice location 3

3 Audubon Plaza Dr Ste 230
Louisville, KY 40217-1319
Phone (502) 637-3311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hrichardson228152@direct.nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200910002346 IN Practitioner - Physician Assistant 0143648956 Reassigns benefits to 2 organizations
I20220203001098 KY Practitioner - Physician Assistant 0143648956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone (812) 283-2581

1220 Spring St
Jeffersonville, IN 47130-3704
Phone (812) 282-8494

1373 E State Rd
Madison, IN 47250-7328

2051 Clevidence Blvd
Clarksville, IN 47129-2278

3118 E 10TH St
Jeffersonville, IN 47130-5904

3118 E 10TH St a
Norton Leatherman Spine Center
Jeffersonville, IN 47130-5904
Phone (502) 584-7525

630 N Broadway St
Madison, IN 47250-7328
Phone (812) 801-0995

Hospital & facility affiliations

  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10003008AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Nov 3, 2020 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Physician Assistant CurrentSince Nov 3, 2020 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Community Medical Associates, Inc. Physician Assistant Past Accepting new patients

Locations

550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste E
Clarksville, IN 47129
Phone (502) 629-5225

3118 E 10th St
Ste A
Jeffersonville, IN 47130
Phone (812) 280-9355

1220 Spring St
Jeffersonvlle, IN 47130
Phone (812) 282-8494

1373 E State Road 62
Ste 2A
Madison, IN 47250
Phone (812) 801-0848

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3 Audubon Plaza Dr
Ste 230
Louisville, KY 40217
Phone (502) 636-0574

Interoperability endpoints

  • Direct secure messaging: hrichardson228152@direct.nortonhealthcare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1104454768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303704",
            "telephone_number": "812-282-8494",
            "fax_number": "812-288-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9408 Tunnel Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "IN",
            "postal_code": "471419721",
            "country_code": "US",
            "telephone_number": "812-207-8212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474033239",
            "country_code": "US",
            "telephone_number": "812-355-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Audubon Plaza Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171319",
            "country_code": "US",
            "telephone_number": "502-637-3311",
            "fax_number": "502-637-3168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "HALEY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC165",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003008A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hrichardson228152@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Audubon Plaza Dr Ste 230",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.