MARY RICHARDSON (NP) – Nurse Practitioner, NPI 1528044492

MARY RICHARDSON (NP) is a healthcare provider. based in Roselle park, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 26NO08212600 (NJ). The NPI Number for MARY RICHARDSON (NP) is 1528044492

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MARY RICHARDSON (NP)
NPI
1528044492
Phone
(908) 620-1600
Address
236 E WESTFIELD AVE
Enumeration Date
21 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
90833340081809
Graduation Year
2022 (4 years ago)
PAC ID
7012979735
Group Practice PAC ID
9133364425
Professional Enrollment ID
I20041103000982
Address ID
NJ088691329RA215XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

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Provider Addresses for MARY RICHARDSON (NP)

  • Westfield Avenue, Roselle Park, Union County, New Jersey, 07208, United States

    ROSELLE PARK, NJ 072042084

    Phone: (908) 620-1600

    Fax: (908) 620-0220

    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)

CMS reports 165 Open Payments records for all available years, with a total value of $4,550.

Total Amount is formed as General ($4,550) + Research ($0) + Ownership ($0) = $4,550.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($829).

Total Amount

$4,550

General + Research + Ownership

Payments

165

Total payment records

General Amount

$4,550

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-03

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
I20041103000982INurse PractitionerNJTBD

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 07204)

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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: 9133364425View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerMA
P S Y C H I A T R YNJ
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Is MARY RICHARDSON (NP) listed with a National Provider Identifier?
Yes — MARY RICHARDSON (NP) has NPI 1528044492 on file in the registry.
Is MARY RICHARDSON (NP) shown as active in public data?
Registry records indicate MARY RICHARDSON (NP) maintains an active NPI.
What area of care is associated with MARY RICHARDSON (NP)?
MARY RICHARDSON (NP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MARY RICHARDSON (NP)?
Directory geography for MARY RICHARDSON (NP) centers on Roselle Park, New Jersey.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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