ANNELY RICHARDSON (M.D.) – Allergy & Immunology Physician, NPI 1699930552

ANNELY RICHARDSON (M.D.) is a healthcare provider. based in St louis park, Minnesota. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 61890 (MN). The NPI Number for ANNELY RICHARDSON (M.D.) is 1699930552

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ANNELY RICHARDSON (M.D.)
NPI
1699930552
Phone
(952) 993-3286
Address
3800 PARK NICOLLET BLVD
Enumeration Date
21 July 2008
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9529938900
Graduation Year
2008 (18 years ago)
PAC ID
8224210604
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20170523001389
Address ID
MN554462307PL4155X101X400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

91 ALLERGY/IMMUNOLOGY in MN

Provider Addresses for ANNELY RICHARDSON (M.D.)

  • 3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-3286

    Type: Mailing

  • 200 1st St SW

    Rochester, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • 140 High Street

    Springfield, MA 011091442

    Phone: (413) 794-5084

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    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: 2017-05-23

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
I20170523001389IAllergy/ImmunologyMNTBD

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
36415Insertion of needle into vein for collection of blood sample4313$0
99214Established patient office or other outpatient visit, 30-39 minutes3127$0
94375Test to measure rate of airflow2018$0
95012Test to measure the level of nitric oxide gas1412$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How is ANNELY RICHARDSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists ANNELY RICHARDSON (M.D.) with NPI 1699930552.
Can I rely on ANNELY RICHARDSON (M.D.) being an active provider?
As of the registry snapshot, ANNELY RICHARDSON (M.D.) is marked active.
What is ANNELY RICHARDSON (M.D.) best known for clinically?
Directory data describes ANNELY RICHARDSON (M.D.) with Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Does ANNELY RICHARDSON (M.D.) list a practice location?
Patients near St Louis Park, Minnesota may find ANNELY RICHARDSON (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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