JACQULYN RICHARDSON – Psychiatric/Mental Health Nurse Practitioner, NPI 1285092445
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for JACQULYN RICHARDSON
175 N Groesbeck Hwy
Mount Clemens, MI 480431562
Phone: (616) 301-8000
Type: Location
North Telegraph Road, Pontiac, Oakland County, Michigan, 48328:48341, United States
PONTIAC, MI 483411032
Phone: (248) 456-8150
Fax: (810) 744-1306
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $168.
Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Alkermes, Inc. ($131).
Total Amount
$168
General + Research + Ownership
Payments
9
Total payment records
General Amount
$168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $131 |
| Neurocrine BioSciences Inc. | $22 |
| Janssen Pharmaceuticals, Inc | $15 |
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: 2023-05-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230503000572 | I | Nurse Practitioner | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 60 | 41 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 48043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| P S Y C H I A T R Y | MI | |
| Clinical Social Worker | MI | |
| Psychiatry, Neurology | MI | |
| P S Y C H I A T R Y | MI | |
| Nurse Practitioner | MI | |
| Psychiatry, Neurology | MI | |
| Mental Health Counselor | MI |
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