Individual provider Active NPI

John Richardson, MSN, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1881263705
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1045565 Issued in TX
Practice address
9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone
(713) 897-5900
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 915464 TX
Acute Care Nurse Practitioner 363LA2100X 1045565 TX Primary

Addresses

Primary practice location

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883

Mailing address

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900

Other practice location 1

602 W Semands St
Conroe, TX 77301-1867
Phone (936) 756-5598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210721000072 TX Practitioner - Nurse Practitioner 2769885326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Suite 330
Sugar Land, TX 77479-2648
Phone (281) 238-3770

9180 Pinecroft Dr
Suite 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
915464TXMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Physicians of Texas Neurological Surgery CurrentSince Sep 12, 2021 Accepting new patients
MHS Physicians of Texas CurrentSince Sep 12, 2021 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Current Accepting new patients
Advocate Pediatric Home Care LLC Past Accepting new patients

Locations

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

9200 Pinecroft Dr
Ste 130
Shenandoah, TX 77380
Phone (713) 897-5900

9180 Pinecroft Dr
Ste 500
Shenandoah, TX 77380
Phone (713) 897-5900

17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770

Organizations & group practices 4

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 6

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1881263705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "713-897-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "713-897-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 W Semands St",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773011867",
            "country_code": "US",
            "telephone_number": "936-756-5598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOHN",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "915464",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1045565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.