LISA RICHARDSON (APRN) – Nurse Practitioner, NPI 1922168491

LISA RICHARDSON (APRN) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN3165542 (FL). The NPI Number for LISA RICHARDSON (APRN) is 1922168491

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
LISA RICHARDSON (APRN)
NPI
1922168491
Phone
(904) 633-2021
Address
562 PARK ST
Enumeration Date
12 December 2006
Last Update Date
27 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9044933333
Graduation Year
2002 (24 years ago)
PAC ID
6709822422
Group Practice PAC ID
6002803020
Professional Enrollment ID
I20050705000469
Address ID
FL322566953JA7011XPKWY502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for LISA RICHARDSON (APRN)

  • Park Street, Jacksonville, Duval County, Florida, 32205, United States of America

    SUITE 310

    JACKSONVILLE, FL 322042918

    Phone: (904) 633-2021

    Fax: (904) 633-9793

    Type: Mailing

  • 7011 A C Skinner Pkwy Ste 160

    Jacksonville, FL 322566953

    Phone: (904) 493-3333

    Fax: (904) 493-2222

    Type: Location

  • 1681 EAGLE HARBOR PKWY STE B

    FLEMING ISLAND, FL 320034819

    Phone: (904) 644-0092

    Fax: (904) 644-0099

    Type: Location

  • PO BOX 551308

    JACKSONVILLE, FL 322551308

    Phone: (904) 493-3333

    Fax: (904) 493-2222

    Type: Mailing

  • 1824, King Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    SUITE 300

    JACKSONVILLE, FL 322044735

    Phone: (904) 388-1820

    Fax: (904) 388-1827

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,804.

Total Amount is formed as General ($1,804) + Research ($0) + Ownership ($0) = $1,804.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($302).

Total Amount

$1,804

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,804

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

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: 2005-07-05

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
I20050705000469INurse PractitionerFLTBD

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 minutes120115$0
99213Established patient office or other outpatient visit, 20-29 minutes2727$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1717$0
View full utilization report →

Insurance plans in this area (ZIP 32204)

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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: 6002803020View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Pulmonary Disease, Critical Care (Intensivists)FL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology), Interventional CardiologyFL

Reviews

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Frequently asked questions

Is there an official ID for LISA RICHARDSON (APRN) in U.S. healthcare records?
The official identifier for LISA RICHARDSON (APRN) is NPI 1922168491.
Is there an active status for LISA RICHARDSON (APRN)?
For scheduling context, LISA RICHARDSON (APRN) is shown as active in the registry.
What kind of doctor is LISA RICHARDSON (APRN)?
LISA RICHARDSON (APRN) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is LISA RICHARDSON (APRN) located near Jacksonville?
LISA RICHARDSON (APRN) currently maps to Jacksonville, Florida in this extract.
Can I trust this NPI listing for LISA RICHARDSON (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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