Individual provider Active NPI

Rachel Richardson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Summersville, WV
National Provider Identifier
1609401520
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
105756 Issued in WV
Practice address
415 Main St
Summersville, WV 26651-1343
Phone
(304) 872-1663
NPI assigned
Mar 11, 2020
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 105756 WV Primary

Addresses

Primary practice location

415 Main St
Summersville, WV 26651-1343

Mailing address

415 Main St
Summersville, WV 26651-1343
Phone (304) 872-1663

Other practice location 1

1101 About Town Pl
Morgantown, WV 26508-5838
Phone (304) 413-5002

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
I20200701001996 WV Practitioner - Nurse Practitioner 7810310208 Reassigns benefits to 6 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
Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians

Practice addresses (Care Compare)

235 Skidmore LN
Sutton, WV 26601-9272
Phone (304) 765-4400

249 Skidmore LN
Sutton, WV 26601-9272

273 Skidmore LN
Sutton, WV 26601-9272
Phone (304) 765-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105756WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. CurrentSince May 18, 2024 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince May 18, 2024 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Seneca Health Services, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia Inc CurrentSince May 18, 2024 Accepting new patients
Seneca Health Services, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince May 18, 2024 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince May 18, 2024 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince May 18, 2024 Accepting new patients
Community Care of West Virginia, Inc. CurrentSince May 18, 2024 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince May 26, 2026 Accepting new patients

Locations (25 of 28)

101 Florence St
Ansted, WV 25812
Phone (304) 658-5100

34 N Kanawha St
Buckhannon, WV 26201
Phone (304) 473-2250

10003 Webster Rd
Camden on Gly, WV 26208
Phone (304) 266-5725

56 Park St
Cowen, WV 26206
Phone (304) 226-5275

100 School St
Craigsville, WV 26205
Phone (304) 742-1061

16414 Webster Rd
Craigsville, WV 26205
Phone (304) 742-3004

215 Milam Addition Rd
Craigsville, WV 26205

46 Red Oak Dr
Craigsville, WV 26205
Phone (304) 742-5737

704 3rd Ave
Marlinton, WV 24954
Phone (304) 799-6865

804 Industrial Park Rd
Maxwelton, WV 24957
Phone (304) 497-0500

804 Industrial Park Rd
Ste 1
Maxwelton, WV 24957
Phone (304) 497-0500

1945 E Mount Lookout Rd
Mount Lookout, WV 26678

110 Panther Creek Elementary Rd
Nettie, WV 26681
Phone (304) 742-1061

16 W Main St
Richwood, WV 26261
Phone (304) 846-0207

190 Riverside Dr
Richwood, WV 26261
Phone (304) 846-2588

71 Avenue A
Richwood, WV 26261
Phone (304) 846-2608

1305 Webster Rd
Summersville, WV 26651
Phone (304) 872-6503

131 Wellness Dr
Summersville, WV 26651
Phone (304) 872-6503

415 Main St
Summersville, WV 26651
Phone (304) 872-1663

477 Scenic Hwy
Summersville, WV 26651

70 Grade School Ln
Summersville, WV 26651
Phone 3042265725118

7950 Webster Rd
Summersville, WV 26651

235 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-4400

266 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-0351

318 River Dr
Webster Springs, WV 26288
Phone (304) 619-0441

Interoperability endpoints

  • Direct secure messaging: rachel.richardson.1@4803.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1609401520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511343",
            "telephone_number": "304-872-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511343",
            "telephone_number": "304-872-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 About Town Pl",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265085838",
            "country_code": "US",
            "telephone_number": "304-413-5002",
            "fax_number": "888-594-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RACHEL",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "105756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.