Individual provider Active NPI

Carmen Dee Richman, P.A.

  • Physician Assistant
  • North Platte, NE
National Provider Identifier
1194952747
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1458 Issued in NE
Practice address
611 W Francis St
North Platte, NE 69101-0614
Phone
(308) 696-8280
Fax
(308) 534-4013
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1458 NE Primary

Addresses

Primary practice location

611 W Francis St
North Platte, NE 69101-0614

Mailing address

611 W Francis St
North Platte, NE 69101-0614
Phone (308) 696-8280

Other identifiers 1

IdentifierTypeStateIssuer
P00776587OtherNERAILROAD MEDICARE PART B PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20090811000492 NE Practitioner - Physician Assistant 3779637756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

601 W Leota St
North Platte, NE 69101-6525

611 W Francis St
North Platte, NE 69101-0614

Hospital & facility affiliations

  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • Ogallala Community Hospital Hospital, Ogallala, NE, CCN 281355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1458NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince Apr 8, 2018 Accepting new patients
North Platte Nebraska Hospital Corporation Past Accepting new patients

Locations

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

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.

Hospital & facility affiliations 3

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1194952747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-696-8280",
            "fax_number": "308-534-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-696-8280",
            "fax_number": "308-534-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "CARMEN",
        "middle_name": "DEE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B PTAN",
            "identifier": "P00776587",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.