JENNIFER LYNN RICHARDSON (P.A.-C) – Medical Physician Assistant, NPI 1699767384

JENNIFER LYNN RICHARDSON (P.A.-C) is a healthcare provider. based in Pensacola, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA9101066 (FL). The NPI Number for JENNIFER LYNN RICHARDSON (P.A.-C) is 1699767384

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN RICHARDSON (P.A.-C)
NPI
1699767384
Phone
(850) 477-3252
Address
4511 N DAVIS HWY # C-1
Enumeration Date
18 August 2005
Last Update Date
21 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504773252
Graduation Year
1999 (27 years ago)
PAC ID
7911136148
Group Practice PAC ID
2466352224
Professional Enrollment ID
I20140210000609
Address ID
FL325146091PE2120XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for JENNIFER LYNN RICHARDSON (P.A.-C)

  • North Davis Highway, Ferry Pass, Pensacola, Escambia County, Florida, 32504, United States

    PENSACOLA, FL 325032720

    Phone: (850) 477-3252

    Fax: (850) 477-2659

    Type: Mailing

  • 4511, North Davis Highway, Pensacola, Escambia County, Florida, 32503, United States

    SUITE C-1

    PENSACOLA, FL 325032734

    Phone: (850) 477-3252

    Fax: (850) 477-2659

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 161 Open Payments records for all available years, with a total value of $2,566.

Total Amount is formed as General ($2,566) + Research ($0) + Ownership ($0) = $2,566.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($629).

Total Amount

$2,566

General + Research + Ownership

Payments

161

Total payment records

General Amount

$2,566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-02-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140210000609IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes694317$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit220220$0
83036Hemoglobin a1c level13166$0
99215Established patient office or other outpatient visit, 40-54 minutes11792$0
96372Injection of drug or substance under skin or into muscle6722$0
View full utilization report →

Insurance plans in this area (ZIP 32503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466352224View full group profile

Reviews

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Frequently asked questions

Can I cross-check JENNIFER LYNN RICHARDSON (P.A.-C) using NPI 1699767384?
NPI 1699767384 belongs to JENNIFER LYNN RICHARDSON (P.A.-C); compare other details if you need extra assurance.
Would JENNIFER LYNN RICHARDSON (P.A.-C) appear as active to a payer?
You can treat JENNIFER LYNN RICHARDSON (P.A.-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JENNIFER LYNN RICHARDSON (P.A.-C)?
JENNIFER LYNN RICHARDSON (P.A.-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER LYNN RICHARDSON (P.A.-C)?
Directory geography for JENNIFER LYNN RICHARDSON (P.A.-C) centers on Pensacola, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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