Individual provider Active NPI

Brittney S Richter, PA-C

  • Physician Assistant
  • St Charles, IL
National Provider Identifier
1730734807
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.009768 Issued in IL
Practice address
2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799
Phone
(877) 377-1188
Fax
(630) 377-7360
NPI assigned
Aug 6, 2019
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 085.009768 IL Primary

Addresses

Primary practice location

2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799

Mailing address

2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799
Phone (877) 377-1188

Other identifiers 2

IdentifierTypeStateIssuer
7095-23OtherWIWI LICENSE
1730734807MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230628002719 WI Practitioner - Physician Assistant 8628497450 Reassigns benefits to 2 organizations
I20251023000811 IL Practitioner - Physician Assistant 8628497450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Texas Tech University Health Science Center School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
PCC Community Wellness CenterGroup PAC ID 1557270139, 91 clinicians
Acs Wounds LLCGroup PAC ID 0547626228, 5 clinicians
BSH, SCGroup PAC ID 4082996954, 9 clinicians

Practice addresses (Care Compare)

1 Erie CT
Oak Park, IL 60302-2510

5439 Durand Ave
Mount Pleasant, WI 53406-5058
Phone (262) 898-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.009768ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Community Wellness Center CurrentSince Oct 13, 2025 Accepting new patients
PCC Community Wellness Center CurrentSince Oct 13, 2025 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC Past Accepting new patients
PCC Community Wellness Center Past Accepting new patients
Nevada Health Centers Inc. Past Accepting new patients

Locations

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: brittney.blazich.p1@direct.nevadahealthcenters.nextgenshare.com
  • Direct secure messaging: brittney.richter.1@13158.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1730734807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FOXFIELD RD STE 102",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745799",
            "telephone_number": "877-377-1188",
            "fax_number": "630-377-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FOXFIELD RD STE 102",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745799",
            "telephone_number": "877-377-1188",
            "fax_number": "630-377-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "BRITTNEY",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "7095-23",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730734807",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.