MS. JEANETTE M RICHARDSON (N.P.) – Adult Health Nurse Practitioner, NPI 1104108471

MS. JEANETTE M RICHARDSON (N.P.) is a healthcare provider. based in Woburn, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 2267910 (MA). The NPI Number for MS. JEANETTE M RICHARDSON (N.P.) is 1104108471

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. JEANETTE M RICHARDSON (N.P.)
NPI
1104108471
Phone
(781) 756-7273
Address
23 WARREN AVE
Enumeration Date
13 September 2011
Last Update Date
27 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817448000
Graduation Year
2011 (15 years ago)
PAC ID
9931366895
Group Practice PAC ID
7719291434
Professional Enrollment ID
I20120203000351
Address ID
MA018050001BU41XXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MS. JEANETTE M RICHARDSON (N.P.)

  • 23 WARREN AVE

    SUITE 100

    WOBURN, MA 01801

    Phone: (781) 756-7273

    Fax: (781) 721-0725

    Mailing address matches the actual address.

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: 2012-02-03

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
I20120203000351INurse PractitionerMATBD

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 minutes412326$0
99213Established patient office or other outpatient visit, 20-29 minutes212188$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit141141$0
G0444Annual depression screening, 5 to 15 minutes7676$0
G0008Administration of influenza virus vaccine7575$0
View full utilization report →

Insurance plans in this area (ZIP 01801)

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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: 7719291434View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Internal MedicineNH
Nurse PractitionerMA
Family PracticeMA
Family PracticeMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the registry number for MS. JEANETTE M RICHARDSON (N.P.)?
The registry entry for MS. JEANETTE M RICHARDSON (N.P.) shows NPI 1104108471.
Should I treat MS. JEANETTE M RICHARDSON (N.P.) as an active provider?
Patients and plans typically see MS. JEANETTE M RICHARDSON (N.P.) as active in the national extract.
How should patients interpret MS. JEANETTE M RICHARDSON (N.P.)'s specialty?
The extract shows Adult Health Nurse Practitioner for MS. JEANETTE M RICHARDSON (N.P.). Clinical services aligned with this taxonomy classification.
What city is tied to MS. JEANETTE M RICHARDSON (N.P.)?
The directory associates MS. JEANETTE M RICHARDSON (N.P.) with Woburn, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I export MS. JEANETTE M RICHARDSON (N.P.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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