SHACONYA L RICHARDSON – Psychiatric/Mental Health Nurse Practitioner, NPI 1427417153
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHACONYA L RICHARDSON
6007 COUNT TURF DR
LOUISVILLE, KY 402723549
Phone: (502) 243-5565
Fax: (502) 772-8983
Type: Mailing
714 LYNDON LN STE 6
LOUISVILLE, KY 402224643
Phone: (502) 243-5565
Type: Location
645 S Roy Wilkins Ave
Louisville, KY 402032072
Phone: (502) 583-6990
Type: Location
510, Spring Street, Madison, Jefferson County, Indiana, 47250, United States
JEFFERSON, IN 47130
Phone: (812) 282-1888
Type: Mailing
645, Roy Wilkins Avenue, Louisville, Jefferson County, Kentucky, 40203, United States
LOUISVILLE, KY 402032072
Phone: (502) 583-6990
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $2,301.
Total Amount is formed as General ($2,301) + Research ($0) + Ownership ($0) = $2,301.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($755).
Total Amount
$2,301
General + Research + Ownership
Payments
41
Total payment records
General Amount
$2,301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $755 |
| Otsuka America Pharmaceutical, Inc. | $341 |
| Vanda Pharmaceuticals Inc. | $240 |
| ITI, Inc. | $172 |
| Supernus Pharmaceuticals, Inc. | $153 |
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: 2016-08-04
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 |
|---|---|---|---|---|
| I20160804002330 | I | Nurse Practitioner | KY | 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 40272)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KY | |
| Clinical Psychologist | KY | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY |
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