MARK P. RICHARD (N.P.) – Family Nurse Practitioner, NPI 1053378646
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MARK P. RICHARD (N.P.)
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 339523922
Phone: (941) 624-2704
Fax: (941) 627-6066
Type: Location
200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States
SUITE 180
FAIRHAVEN, MA 027195252
Phone: (508) 973-2000
Fax: (508) 973-2001
Type: Mailing
825;827;829, American Legion Highway, Westport, Bristol County, Massachusetts, 02790, United States
WESTPORT, MA 02790
Phone: (508) 636-5101
Fax: (508) 636-3651
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040123000234 | I | Nurse Practitioner | MA | TBD |
| I20210723000045 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 607 | 573 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 251 | 244 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 190 | 95 | $0 |
| 81003 | Automated urinalysis test | 135 | 129 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 111 | 108 | $0 |
Insurance plans in this area (ZIP 33901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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