Sean Richardson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

128530 Issued in AK

Practice address

1650 Cowles St
Fairbanks, AK 99701-5998

Phone

(907) 458-2682

Fax

(907) 458-2628

NPI assigned

Jul 27, 2011

Last updated

Aug 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Pacific Medical College, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Alpine Medical Group LLCGroup PAC ID 7113302373, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sean.richardson.1@24993.direct.athenahealth.com
• Direct secure messaging: sean.richardson.p1@direct.crossroadmc.nextgenshare.com

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.

• Alpine Medical Group LLC

  • Family Nurse Practitioner
  • Fairbanks, AK
  • NPI 1114681608

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Cross Road Health Ministries, Inc.

  dba Cross Road Medical Center

  • Federally Qualified Health Center (FQHC)
  • Glennallen, AK
  • NPI 1609871391
  Medicare reassignment NPD
• Cross Road Health Ministries, Inc.

  dba Tok Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Tok, AK
  • NPI 1659956449
  NPD
• Cross Road Health Ministries, Inc.

  dba Interior Alaska Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Delta Junction, AK
  • NPI 1346677754
  NPD (past)

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

• Fairbanks Memorial Hospital, LLC

  • General Acute Care Hospital
  • Fairbanks, AK
  • NPI 1720537178
  Care Compare affiliation

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1508144304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31326",
            "city": "FORT GREELY",
            "state": "AK",
            "postal_code": "997311326",
            "telephone_number": "907-873-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015998",
            "telephone_number": "907-458-2682",
            "fax_number": "907-458-2628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 5th St",
            "address_purpose": "LOCATION",
            "city": "Fort Greely",
            "state": "AK",
            "postal_code": "99731",
            "country_code": "US",
            "telephone_number": "907-873-4975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SEAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "128530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1687103",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Richards
• Mary Leslie Richards
• Qwynten Richards, M.A.
• Sharon Lola Richards, PT
• Janet Richardson
• Robert Mitchell Rickson Jr.
• Lesley Anne Rider
• Ridgeview Chiropractic PC
• Brandon Lee Ried
• Jesse William Riehm, BSW, ETT

• Family Medicine Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.