KAYLA RICHARDSON (PA-C) – Physician Assistant, NPI 1235681636

KAYLA RICHARDSON (PA-C) is a healthcare provider. based in Huber heights, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.008048RX (OH). The NPI Number for KAYLA RICHARDSON (PA-C) is 1235681636

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA RICHARDSON (PA-C)
NPI
1235681636
Phone
(937) 610-0105
Address
8701 Old Troy Pike Ste 210
Enumeration Date
1 November 2016
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374396186
Graduation Year
2022 (4 years ago)
PAC ID
0749655868
Group Practice PAC ID
4082501853
Professional Enrollment ID
I20230403002072
Address ID
OH454313820BE2510XBLVD312

Contacts

Secure Messaging
kmullen706373@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for KAYLA RICHARDSON (PA-C)

  • 8701 Old Troy Pike Ste 210

    Huber Heights, OH 454241188

    Phone: (937) 610-0105

    Fax: (937) 610-0109

    Type: Location

  • 6501, Pheasant Ridge Road, Dayton, Montgomery County, Ohio, 45424, United States

    DAYTON, OH 454247111

    Phone: (937) 902-2826

    Type: Mailing

  • 1975 MIAMISBURG CENTERVILLE RD

    CENTERVILLE, OH 454593811

    Phone: (937) 439-6186

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 323 Open Payments records for all available years, with a total value of $7,041.

Total Amount is formed as General ($7,041) + Research ($0) + Ownership ($0) = $7,041.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: MDD US Operations, LLC ($920).

Total Amount

$7,041

General + Research + Ownership

Payments

323

Total payment records

General Amount

$7,041

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: 2023-04-03

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
I20230403002072IPhysician AssistantOHTBD

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 minutes5550$0
View full utilization report →

Insurance plans in this area (ZIP 45424)

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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: 4082501853View full group profile
NameSpecialtyState
-OH
N E U R O L O G YOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
N E U R O L O G YOH
-OH
-OH
N E U R O L O G YOH
Physical Medicine And RehabilitationOH

Reviews

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Frequently asked questions

Can I verify KAYLA RICHARDSON (PA-C) with an NPI only?
You can start verification with NPI 1235681636 for KAYLA RICHARDSON (PA-C), then check state licensing separately.
Is KAYLA RICHARDSON (PA-C) still practicing?
KAYLA RICHARDSON (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does KAYLA RICHARDSON (PA-C) hold?
Scheduling teams often label KAYLA RICHARDSON (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does KAYLA RICHARDSON (PA-C) serve?
KAYLA RICHARDSON (PA-C)'s listing highlights Huber Heights, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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