KRISTY J RICHARDSON (NP) – Family Nurse Practitioner, NPI 1093946006
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KRISTY J RICHARDSON (NP)
7601, West Jefferson Boulevard, Times Corner, Fort Wayne, Allen County, Indiana, 46804, United States of America
FORT WAYNE, IN 468044133
Phone: (260) 436-8686
Fax: (260) 436-8585
Type: Location
2526, Sheridan Road, Sunnymede Woods, Fort Wayne, Allen County, Indiana, 46803, United States
FORT WAYNE, IN 468012526
Phone: (260) 436-8686
Fax: (260) 436-8585
Type: Mailing
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: 2009-10-12
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 |
|---|---|---|---|---|
| I20091012000249 | I | Nurse Practitioner | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IN | 20610 | Aspiration and/or injection of large joint or joint capsule | 32 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| - | IN |
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