Individual provider Active NPI

Roxann Jeanette Richardson

  • Physician Assistant
  • Sparks, NV
National Provider Identifier
1902428915
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1075 Roberta LN Ste 102
Sparks, NV 89431-1893
Phone
(775) 209-7065
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 NV Primary

Addresses

Primary practice location

1075 Roberta LN Ste 102
Sparks, NV 89431-1893

Mailing address

1075 Roberta LN Ste 102
Sparks, NV 89431-1893
Phone (775) 209-7065

Other names 1

  • Roxann Jeanette Rohde Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20211130002210 NV Practitioner - Physician Assistant 0941690234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artius Dermatology Associates PCGroup PAC ID 6305126780, 17 clinicians

Practice addresses (Care Compare)

1075 Roberta LN
Sparks, NV 89431-1893
Phone (725) 208-1040

2843 Saint Rose Pkwy
Suite 110
Henderson, NV 89052-4814
Phone (702) 844-6788

Merit-based Incentive Payment System (MIPS)

Final score
43.72 of 100Reported as group
Quality
16.89
Promoting interoperability
0
Improvement activities
40
Cost
78.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Billie Casse DO PLLC Current Accepting new patients
Stephen William Doggett, M.D. PA PastSince Nov 29, 2023 Accepting new patients

Locations

5452 Reno Corporate Dr
Reno, NV 89511
Phone (775) 245-2426

Interoperability endpoints

  • Direct secure messaging: rrichardson@artiusderm.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1902428915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 ROBERTA LN STE 102",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311893",
            "telephone_number": "775-209-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 ROBERTA LN STE 102",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311893",
            "telephone_number": "775-209-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ROXANN",
        "middle_name": "JEANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANN",
            "last_name": "ROHDE",
            "middle_name": "JEANETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.