Myra Anne Richard, DNP, APRN-C
Individual provider Active NPI Family Nurse Practitioner · Burlington, KS
NPI 1982141446 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1982141446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-77534 (KS)
- Practice address
- 801 N 4TH St
Burlington, KS 66839-2602 - Phone
- (620) 364-2121
- Fax
- (620) 364-2605
- NPI assigned
- Jan 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coffey County Hospital
Practice addresses (Care Compare)
801 N 4TH St
Burlington, KS 66839-2602
Phone 62036421214182
Hospital & facility affiliations
- Coffey County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171205002595 | KS | Practitioner - Nurse Practitioner | 5395002075 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffey County Hospital | Current |
Accepting new patients | |
| Coffey County Hospital | Current | Accepting new patients | |
| Coffey County Hospital | Current |
Accepting new patients | |
| Coffey County Medical Center | Current |
Accepting new patients | |
| Coffey County Medical Center | Past | Accepting new patients | |
| Coffey County Medical Center | Past | Accepting new patients |
Locations
801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121
309 Sanders St
Burlington, KS 66839
Phone (620) 364-2121
1004 E Madison St
Yates Center, KS 66783
Phone (620) 625-2312
Interoperability endpoints
- mrichard@coffeyhealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-77534 | KS | Yes |
Addresses
Primary practice location
801 N 4TH St
Burlington, KS 66839-2602
Mailing address
801 N 4TH St
Burlington, KS 66839-2602
Phone (620) 364-2121
Other practice location 1
420 W 15th Ave
Emporia, KS 66801-5367
Phone (620) 342-4864
Other practice location 2
711 Genn Dr
Wamego, KS 66547-1179
Phone (785) 456-2295
Other names
- Myra A Johnson
Other providers in Burlington, KS
- Eric D Peterson
- Kathy Elizabeth Peterson
- Lindsay R. Pierce
- Quest Services, Inc.
- Debra Ann Reaves
- Rock Creek Dental, P.a.
- Ceara Shaughnessy
- John R Shell
- Jon O Sides
- Jeff M Sloyer
All providers in Burlington, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.