Individual provider Active NPI

Richard Allen Harrison, PA

  • Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1790729143
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012774 Issued in MI
Practice address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone
(248) 898-5000
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012774 MI Primary
Physician Assistant 363A00000X PA2123 ME
Surgical Physician Assistant 363AS0400X PA02728 TX
Physician Assistant 363A00000X PA02728 TX

Addresses

Primary practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 858-4735

Other practice location 2

818 Congress St
Portland, ME 04102-3112
Phone (207) 773-8161

Other identifiers 3

IdentifierTypeStateIssuer
PA02728OtherTXHARRISON'S LICENSE #
1952347981OtherWIMARSHFIELD CLINIC EMPLOYER'S NPI
72200OtherWIMARSHFIELD CLININC MEDICARE IDENTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RICHARD.HARRISON@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WI, IL, MI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20041124000646 MO Practitioner - Physician Assistant 4082679477 Reassigns benefits to 3 organizations
I20080719000075 WI Practitioner - Physician Assistant 4082679477 Reassigns benefits to 1 organization
I20191018001379 IL Practitioner - Physician Assistant 4082679477 Reassigns benefits to 3 organizations
I20241112000269 MI Practitioner - Physician Assistant 4082679477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

Hospital & facility affiliations

  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1546NHMDSpeech-Language Pathologist
5601012774MIMDPhysician Assistant
2255WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Oct 7, 2019 Accepting new patients
Carle West Physician Group Inc CurrentSince Apr 17, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 2, 2023 Accepting new patients
SSM Medical Group Inc. CurrentSince Feb 14, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 2, 2023 Accepting new patients
SSM Medical Group, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Mercy Clinic-Springfield Communities CurrentSince Oct 2, 2023 Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Interoperability endpoints

  • Direct secure messaging: rharrisonmd291461@carlehiedirect.net
  • Direct secure messaging: rharrison769137@hisp.ehr.sutterhealth.org
  • Direct secure messaging: rharrison463452@ahs.direct-ci.com

Organizations & group practices 10

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 10

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1790729143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-898-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016122",
            "country_code": "US",
            "telephone_number": "715-858-4735",
            "fax_number": "715-858-1729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 Congress St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023112",
            "country_code": "US",
            "telephone_number": "207-773-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012774",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2123",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02728",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRISON'S LICENSE #",
            "identifier": "PA02728",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARSHFIELD CLINIC EMPLOYER'S NPI",
            "identifier": "1952347981",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARSHFIELD CLININC MEDICARE IDENTIFICATION",
            "identifier": "72200",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RICHARD.HARRISON@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "900 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.