Individual provider Active NPI

Patience Mutheu Richardson, APRN

  • Nurse Practitioner
  • Milton, FL
National Provider Identifier
1235803164
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11010571 Issued in FL
Practice address
4994 Innovation LN
Milton, FL 32583-2551
Phone
(448) 432-9110
Fax
(448) 205-2335
NPI assigned
Aug 4, 2021
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11010571 FL Primary

Addresses

Primary practice location

4994 Innovation LN
Milton, FL 32583-2551

Mailing address

4994 Innovation LN
Milton, FL 32583-2551
Phone (448) 432-9110

Other practice location 1

5466 Thomasville Rd
Tallahassee, FL 32312-3812
Phone (850) 893-8116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210923002028 FL Practitioner - Nurse Practitioner 1456758093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5115 N Palafox St
Pensacola, FL 32505-2932
Phone (850) 378-8773

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11010571FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Urgent Care & Wellness PL CurrentSince Apr 13, 2022 Accepting new patients
Doctor United Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Skelly Medical Group LLC CurrentSince Mar 1, 2025 Accepting new patients
White Sands Integrative Medical, Inc. CurrentSince Nov 14, 2022 Accepting new patients
Quality Urgent Care & Wellness PL Current Accepting new patients
Premise Health of Florida Medical PA PastSince Jul 13, 2025 Accepting new patients

Locations

24 Beal Pkwy SW
Fort Walton Beach, FL 32548
Phone (850) 374-3669

514 Mary Esther Cut Off NW
Ft Walton Bch, FL 32548
Phone (850) 226-8550

2150 W 76th St
Ste 100
Hialeah, FL 33016
Phone (786) 655-0529

714 NW 62nd St
Miami, FL 33150
Phone (305) 603-8200

2045 Fountain Professional Ct
Ste C
Navarre, FL 32566
Phone (850) 407-1914

3300 W Colonial Dr
Orlando, FL 32808
Phone (866) 745-8049

5115 N Palafox St
Pensacola, FL 32505
Phone (850) 378-8773

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1235803164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 INNOVATION LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832551",
            "telephone_number": "448-432-9110",
            "fax_number": "448-205-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 INNOVATION LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832551",
            "telephone_number": "448-432-9110",
            "fax_number": "448-205-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5466 Thomasville Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323123812",
            "country_code": "US",
            "telephone_number": "850-893-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "PATIENCE",
        "middle_name": "MUTHEU",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11010571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.