Individual provider Active NPI

Oksana Richards, PA

  • Physician Assistant
  • Ormond Beach, FL
National Provider Identifier
1629473897
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAT9108140 Issued in FL
Practice address
325 Clyde Morris Blvd Ste 400
Ormond Beach, FL 32174-8185
Phone
(386) 671-0600
Fax
(386) 677-9710
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAT9108140 FL Primary

Addresses

Primary practice location

325 Clyde Morris Blvd Ste 400
Ormond Beach, FL 32174-8185

Mailing address

PO Box 112727
Gainesville, FL 32611-2727
Phone (352) 273-7002

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-7002

Other practice location 2

780 Dunlawton Ave Ste 103
Port Orange, FL 32127-4252
Phone (386) 671-0600

Other identifiers 1

IdentifierTypeStateIssuer
127784600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 386-615-0902 Health Information Exchange (HIE)

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
I20150127000158 FL Practitioner - Physician Assistant 5395069132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Advanced Pain Management IncGroup PAC ID 0547350068, 15 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

120 Health Park Blvd
Suite 1
Saint Augustine, FL 32086-5798
Phone (888) 481-2135

1200 Lexington Green LN
Sanford, FL 32771-1013

145 City PL
Suite 201
Palm Coast, FL 32164-2480
Phone (888) 481-2135

351 Town Plaza Ave
Ponte Vedra, FL 32081-5179

780 Dunlawton Ave
Suite 103
Port Orange, FL 32127-4252
Phone (386) 671-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9108140FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Inc CurrentSince Sep 18, 2023 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Jan 1, 2026 Accepting new patients
Advanced Pain Management Inc CurrentSince Sep 18, 2023 Accepting new patients
Advanced Heart Group PL PastSince Aug 1, 2022 Accepting new patients
Adventhealth Primary Care Network Inc Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

325 Clyde Morris Blvd
Ste 400
Ormond Beach, FL 32174
Phone (386) 671-0600

780 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 671-0600

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

27810 Summergate Blvd
Wesley Chapel, FL 33544
Phone (813) 534-6269

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 2

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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1629473897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112727",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112727",
            "telephone_number": "352-273-7002",
            "fax_number": "352-273-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD STE 400",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748185",
            "telephone_number": "386-671-0600",
            "fax_number": "386-677-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-273-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Dunlawton Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274252",
            "country_code": "US",
            "telephone_number": "386-671-0600",
            "fax_number": "386-677-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "OKSANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9108140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127784600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "386-615-0902",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "KAREO",
            "address_1": "305 Memorial Medical Pkwy Ste 501",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321175170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.