KATRINA NOELLE RICHARD (PA) – Physician Assistant, NPI 1669642849
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
Provider Addresses for KATRINA NOELLE RICHARD (PA)
1125 N College Ave
Fayetteville, AR 727031908
Phone: (479) 713-7010
Type: Location
3101 SE 14TH ST
BENTONVILLE, AR 727124900
Phone: (479) 250-1053
Fax: (479) 250-0923
Type: Location
Huntsville, Madison County, Alabama, United States
HUNTSVILLE, AR 727408350
Phone:
Type: Mailing
UAMS Northwest, 1125, North College Avenue, Evelyn Hills Shopping Center, Fayetteville, Washington County, Arkansas, 72703, United States
FAYETTEVILLE, AR 727031908
Phone: (479) 713-7010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: PFIZER INC. ($40).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $40 |
| GlaxoSmithKline, LLC. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221220002853 | I | Physician Assistant | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 48 | 48 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 41 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 38 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 35 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 72703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Physician Assistant | OH | |
| Nurse Practitioner | AR | |
| Emergency Medicine | AR | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | AR | |
| Physician Assistant | NY | |
| Nurse Practitioner | GA | |
| Family Practice, Emergency Medicine, General Practice | MN | |
| Nurse Practitioner | AR |
Reviews
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