SARAH NICOLE RICHARDS (PA) – Physician Assistant, NPI 1053146613

SARAH NICOLE RICHARDS (PA) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. TC037 (KY). The NPI Number for SARAH NICOLE RICHARDS (PA) is 1053146613

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
SARAH NICOLE RICHARDS (PA)
NPI
1053146613
Phone
(502) 364-0902
Address
6641 Dixie Hwy
Enumeration Date
4 September 2024
Last Update Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5023640902
Graduation Year
2024 (2 years ago)
PAC ID
0244763977
Group Practice PAC ID
3173500196
Professional Enrollment ID
I20241114001325
Address ID
IN471506808NE1919XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for SARAH NICOLE RICHARDS (PA)

  • 6641 Dixie Hwy

    Louisville, KY 402583909

    Phone: (502) 364-0902

    Type: Location

  • 560 S LOOP RD

    EDGEWOOD, KY 410173405

    Phone: (859) 301-2663

    Fax: (859) 817-7848

    Type: Mailing

  • 8620 BIGGIN HILL LN

    LOUISVILLE, KY 402204117

    Phone: (502) 364-0902

    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: 2024-11-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241101001637IPhysician AssistantKYTBD
I20241114001325IPhysician AssistantINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40258)

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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: 3173500196View full group profile
NameSpecialtyState
P O D I A T R YKY
P O D I A T R YKY
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physician AssistantKY
P O D I A T R YOH
Physical Therapist In Private PracticeKY
Orthopedic SurgeryKY
Physician AssistantOH
Physical Medicine And RehabilitationOH

Reviews

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Frequently asked questions

What identifier follows SARAH NICOLE RICHARDS (PA) across health systems?
The NPI 1053146613 uniquely identifies SARAH NICOLE RICHARDS (PA) in U.S. healthcare data.
Quick check: is SARAH NICOLE RICHARDS (PA) active?
Public NPPES data shows SARAH NICOLE RICHARDS (PA) with an active NPI status right now.
What services align with SARAH NICOLE RICHARDS (PA)'s listing?
SARAH NICOLE RICHARDS (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit SARAH NICOLE RICHARDS (PA) in Louisville, Kentucky?
For routing, start with Louisville, Kentucky for SARAH NICOLE RICHARDS (PA), then verify phone and hours locally.
Can I export SARAH NICOLE RICHARDS (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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