Individual provider Active NPI

Myra Anne Richard, DNP, APRN-C

  • Family Nurse Practitioner
  • Burlington, KS
National Provider Identifier
1982141446
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-77534 Issued in KS
Practice address
801 N 4TH St
Burlington, KS 66839-2602
Phone
(620) 364-2121
Fax
(620) 364-2605
NPI assigned
Jan 23, 2017
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-77534 KS Primary

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 1

  • Myra A Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20171205002595 KS Practitioner - Nurse Practitioner 5395002075 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffey County HospitalGroup PAC ID 4981598653, shared by 7 NPIs, 15 clinicians

Practice addresses (Care Compare)

801 N 4TH St
Burlington, KS 66839-2602
Phone 62036421214182

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coffey County Hospital Current Accepting new patients
Coffey County Hospital CurrentSince May 4, 2018 Accepting new patients
Coffey County Hospital CurrentSince May 4, 2018 Accepting new patients
Coffey County Medical Center CurrentSince May 1, 2018 Accepting new patients
Coffey County Medical Center Past Accepting new patients
Coffey County Medical Center Past Accepting new patients

Locations

309 Sanders St
Burlington, KS 66839
Phone (620) 364-2121

801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121

1004 E Madison St
Yates Center, KS 66783
Phone (620) 625-2312

Interoperability endpoints

  • Direct secure messaging: mrichard@coffeyhealthdirect.org

Organizations & group practices 6

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.

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1982141446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N 4TH ST",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668392602",
            "telephone_number": "620-364-2121",
            "fax_number": "620-364-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 4TH ST",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668392602",
            "telephone_number": "620-364-2121",
            "fax_number": "620-364-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668015367",
            "country_code": "US",
            "telephone_number": "620-342-4864",
            "fax_number": "620-343-3545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Genn Dr",
            "address_purpose": "LOCATION",
            "city": "Wamego",
            "state": "KS",
            "postal_code": "665471179",
            "country_code": "US",
            "telephone_number": "785-456-2295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "MYRA",
        "middle_name": "ANNE",
        "credential": "DNP, APRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "JOHNSON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, KS

Sources for this page

Verify at the official NPI Registry.