Individual provider Active NPI

Mackenzie Richardson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1407621543
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
117273 Issued in WV
Practice address
1249 15TH Street
Suite 3000
Huntington, WV 25701-3663
Phone
(304) 691-1000
Fax
(304) 691-1693
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 117273 WV Primary

Addresses

Primary practice location

1249 15TH Street
Suite 3000
Huntington, WV 25701-3663

Mailing address

1448 10TH Avenue
Suite 304
Huntington, WV 25701-3579
Phone (304) 691-6381

Other practice location 1

300 Corporate Center Drive
Scott Depot, WV 25560-9026
Phone (304) 691-6800

Other practice location 2

2801 S Staunton Rd
Huntington, WV 25702-1222
Phone (304) 526-1880

Other practice location 3

4619 Kanawha Ave SW
Charleston, WV 25309-1319
Phone (304) 400-4545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mackenzie.richardson@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240109004422 WV Practitioner - Nurse Practitioner 9830540350 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1249 15TH St
Suite 3000
Huntington, WV 25701-3663
Phone (304) 691-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117273WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
THS Physician Partners Inc Family CurrentSince Dec 28, 2023 Accepting new patients
St. Mary'S Medical Management, LLC Family CurrentSince Jan 11, 2025 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Apr 21, 2025 Accepting new patients
University Physicians & Surgeons, Inc Family CurrentSince Apr 21, 2025 Accepting new patients
St. Mary'S Medical Management, LLC CurrentSince Jan 11, 2025 Accepting new patients
Cabell Huntington Hospital Inc PastSince Apr 21, 2025 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

1249 15th St
Ste 3000
Huntington, WV 25701
Phone (304) 691-1095

2801 S Staunton Rd
Huntington, WV 25702
Phone (304) 526-1880

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

4619 Kanawha Ave SW
South Charleston, WV 25309
Phone (304) 400-4545

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Interoperability endpoints

  • Direct secure messaging: marthur320470@direct.wvuhsdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1407621543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVENUE",
            "address_2": "SUITE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-691-6381",
            "fax_number": "304-691-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH STREET",
            "address_2": "SUITE 3000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013663",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Corporate Center Drive",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609026",
            "country_code": "US",
            "telephone_number": "304-691-6800",
            "fax_number": "304-691-6751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 S Staunton Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021222",
            "country_code": "US",
            "telephone_number": "304-526-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4619 Kanawha Ave SW",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253091319",
            "country_code": "US",
            "telephone_number": "304-400-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MACKENZIE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-05-06",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "117273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackenzie.richardson@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th Street",
            "address_2": "Suite 3000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.