Individual provider Active NPI

Mary Richardson, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1760497283
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA597 Issued in KY
Practice address
800 Rose St
Division of Cardiology
Lexington, KY 40536-0200
Phone
(859) 323-3976
Fax
(859) 257-6060
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA597 KY
Surgical Physician Assistant 363AS0400X PA597 KY
Physician Assistant 363A00000X PA597 KY Primary

Addresses

Primary practice location

800 Rose St
Division of Cardiology
Lexington, KY 40536-0200

Mailing address

900 S Limestone CTW 324
Division of Cardiology
Lexington, KY 40536-0200
Phone (859) 323-3976

Other identifiers 1

IdentifierTypeStateIssuer
0987654310MedicaidKY

Other names 1

  • Mary Vanderhoof Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100318000606 KY Practitioner - Physician Assistant 1153456959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412

740 S Limestone
E214
Lexington, KY 40536-0001
Phone (859) 323-3368

770 Rose St
Mn328
Lexington, KY 40536-0001
Phone (859) 323-8873

800 Rose St
Lexington, KY 40536-0001
Phone (859) 257-8562

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA597KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scully and Jones, PSC Current Accepting new patients
University of Kentucky CurrentSince Oct 17, 2010 Accepting new patients

Locations

920 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 845-9507

1002 Leawood Dr
Frankfort, KY 40601
Phone (502) 227-7188

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533

1720 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 971-4652

50 Sterling Ave
Mt Sterling, KY 40353
Phone (606) 498-1220

625 James Trimble Blvd
Paintsville, KY 41240

1107 W Lexington Ave
Winchester, KY 40391
Phone (859) 745-3500

Interoperability endpoints

  • Direct secure messaging: mrichardson25879@ukhcdirect.org

Organizations & group practices 2

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 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1760497283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S LIMESTONE CTW 324",
            "address_2": "DIVISION OF CARDIOLOGY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360200",
            "telephone_number": "859-323-3976",
            "fax_number": "859-257-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "DIVISION OF CARDIOLOGY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360200",
            "telephone_number": "859-323-3976",
            "fax_number": "859-257-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA597",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA597",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987654310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "VANDERHOOF",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.