Jayson P Richter, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1829 Issued in ME

Practice address

46 Fairview Ave
Skowhegan, ME 04976-1481

Phone

(207) 474-5121

Fax

(207) 474-3441

NPI assigned

Jul 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
• Direct secure messaging: jrichter1438137@direct-prd.goodhelpconnections.org

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.

• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1275646150
  Medicare reassignment NPD
• Redington-Fairview General Hospital

  • Critical Access Hospital
  • Skowhegan, ME
  • NPI 1174549133
  Medicare reassignment NPD
• Emergency Medicine Services of Maine, LLC

  • Emergency Medicine Physician
  • Ellsworth, ME
  • NPI 1578032058
  Medicare reassignment
• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1386804268
  Medicare reassignment
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Medicare reassignment
• Houlton Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houlton, ME
  • NPI 1013355254
  NPD
• Millinocket Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Millinocket, ME
  • NPI 1578677456
  NPD
• Mount Desert Island Hospital

  • Dental Clinic/Center
  • Southwest Harbor, ME
  • NPI 1235553413
  NPD (past)

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1992291538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049760468",
            "telephone_number": "207-474-5121",
            "fax_number": "207-474-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FAIRVIEW AVE",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761481",
            "telephone_number": "207-474-5121",
            "fax_number": "207-474-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Maine St",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112049",
            "country_code": "US",
            "telephone_number": "207-725-9065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013979",
            "country_code": "US",
            "telephone_number": "207-907-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "JAYSON",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1829",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992291538",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JRICHTER1438137@DIRECT-PRD.GOODHELPCONNECTIONS.ORG",
            "affiliation": "N",
            "address_1": "360 Broadway",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044013979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William David Rice Jr., LMSW-CC
• Pamela Marie Richards, LSW-C
• Kathryn S Richardson, OT
• Sharon M Richardson, P.T.
• Brian Rogers Richmond, RN, LCPC
• Joyce Ellen Rines
• Darren Ripley Sr., LADC,CCS
• Sydney Riser, OTR
• Rite Aid of Maine Inc
• River Trail Counseling and Wellness Center, LLC

• Medical Physician Assistant in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Medical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.