Individual provider Active NPI

Jennifer Lynn Richardson, M.D.

  • Family Medicine Physician
  • Jasper, IN
National Provider Identifier
1740374826
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01047337A Issued in IN
Practice address
966 Bartley St
Jasper, IN 47546-2641
Phone
(812) 996-7810
Fax
(812) 996-8465
NPI assigned
Oct 3, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01047337A IN Primary

Addresses

Primary practice location

966 Bartley St
Jasper, IN 47546-2641

Mailing address

PO Box 631767
Cincinnati, OH 45263-1767
Phone (812) 450-6815

Other identifiers 1

IdentifierTypeStateIssuer
200227510MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20051114000071 IN Practitioner - Family Practice 6305865981 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Un of California, Irvine, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943

3404 Newton St
Jasper, IN 47546-1020
Phone (812) 634-7726

966 Bartley St
Jasper, IN 47546-2641
Phone (812) 996-7810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01047337AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Deaconess Memorial Medical Center Inc Family Medicine CurrentSince Mar 16, 2020 Accepting new patients
Deaconess Memorial Medical Center Inc Family Medicine Current Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Jan 7, 2026 Accepting new patients
Deaconess Clinic, Inc Family Medicine Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

721 W 13th St
Ste 322
Jasper, IN 47546
Phone (812) 634-6646

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

966 Bartley St
Jasper, IN 47546
Phone (812) 996-5425

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1740374826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631767",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631767",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 BARTLEY ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462641",
            "telephone_number": "812-996-7810",
            "fax_number": "812-996-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01047337A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200227510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.