Individual provider Active NPI

Janice Renea Richardson, AGNP

  • Adult Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1306110366
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP117208 Issued in TX
Practice address
1350 E Lancaster Ave Ste 100
Fort Worth, TX 76102-6671
Phone
(817) 702-8391
Fax
(817) 702-4102
NPI assigned
Mar 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 601924 TX
Gerontology Nurse Practitioner 363LG0600X 601924 TX
Adult Health Nurse Practitioner 363LA2200X AP117208 TN
Adult Health Nurse Practitioner 363LA2200X AP117208 TX Primary

Addresses

Primary practice location

1350 E Lancaster Ave Ste 100
Fort Worth, TX 76102-6671

Mailing address

PO Box 40411
Belfast, ME 04915-1255
Phone (972) 870-5511

Other practice location 1

9229 Lbj Fwy
Attn: Post Acute
Dallas, TX 75243-3405
Phone (682) 236-3656

Other practice location 2

4545 Fuller Dr Ste 325
Irving, TX 75038-6530
Phone (972) 870-5511

Other identifiers 4

IdentifierTypeStateIssuer
8445NJOtherTXBCBS
8920NKOtherTXBCBS
340549001MedicaidTX
340549003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141110000792 TX Practitioner - Nurse Practitioner 6709008618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians

Practice addresses (Care Compare)

Irving, TX 75038
Phone (972) 870-5511

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP117208TNMDAdult Health Nurse Practitioner
601924TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 25, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 25, 2025 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Oct 21, 2019 Accepting new patients

Locations

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1350 E Lancaster Ave
Ste 100
Fort Worth, TX 76102
Phone (817) 569-5400

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1306110366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40411",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "972-870-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E LANCASTER AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026671",
            "telephone_number": "817-702-8391",
            "fax_number": "817-702-4102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9229 Lbj Fwy",
            "address_2": "Attn: Post Acute",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433405",
            "country_code": "US",
            "telephone_number": "682-236-3656",
            "fax_number": "214-570-1692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Fuller Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750386530",
            "country_code": "US",
            "telephone_number": "972-870-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JANICE",
        "middle_name": "RENEA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "601924",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "601924",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "AP117208",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP117208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8445NJ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8920NK",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340549001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340549003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.