TREASURE RICHARDSON (RN) – Nurse Practitioner, NPI 1609319037

TREASURE RICHARDSON (RN) is a healthcare provider. based in Boardman, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 428686 (OH). The NPI Number for TREASURE RICHARDSON (RN) is 1609319037

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
TREASURE RICHARDSON (RN)
NPI
1609319037
Phone
(330) 884-2300
Address
6505 Market St Bldg D
Enumeration Date
3 December 2016
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4405660170
Graduation Year
2021 (5 years ago)
PAC ID
4981148442
Group Practice PAC ID
4183932072
Professional Enrollment ID
I20240626001426
Address ID
OH441226232BE23333RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TREASURE RICHARDSON (RN)

  • 6505 Market St Bldg D

    Boardman, OH 445123459

    Phone: (330) 884-2300

    Fax: (440) 585-4041

    Type: Location

  • 7148 West Blvd

    Youngstown, OH 445124336

    Phone: (440) 566-0170

    Fax: (440) 585-4041

    Type: Location

  • 1835 Belmore Rd

    CLEVELAND, OH 441124301

    Phone: (216) 268-3600

    Fax: (440) 585-4041

    Type: Location

  • 1985 E Pershing St

    Salem, OH 444603411

    Phone: (330) 332-1588

    Fax: (440) 585-4041

    Type: Location

  • 18812, Restor Avenue, Lee-Harvard, Cleveland, Cuyahoga County, Ohio, 44122, United States

    CLEVELAND, OH 441226918

    Phone: (216) 924-7676

    Type: Location

  • 3891 EASTWAY RD

    SOUTH EUCLID, OH 441182337

    Phone:

    Type: Mailing

  • PO BOX 660

    MENTOR, OH 440610660

    Phone: (440) 516-3776

    Fax: (440) 854-3783

    Type: Mailing

  • 23333 HARVARD RD

    BEACHWOOD, OH 441226232

    Phone: (440) 566-0170

    Type: Location

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: 2024-06-26

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
I20240626001426INurse PractitionerOHTBD

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 44512)

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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: 4183932072View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, NephrologyOH

Reviews

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Frequently asked questions

Can I verify TREASURE RICHARDSON (RN) with an NPI only?
You can start verification with NPI 1609319037 for TREASURE RICHARDSON (RN), then check state licensing separately.
Can I rely on TREASURE RICHARDSON (RN) being an active provider?
As of the registry snapshot, TREASURE RICHARDSON (RN) is marked active.
What taxonomy line describes TREASURE RICHARDSON (RN)?
For research purposes, treat TREASURE RICHARDSON (RN) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does TREASURE RICHARDSON (RN) serve?
TREASURE RICHARDSON (RN)'s listing highlights Boardman, Ohio; more addresses can appear in NPPES.
Why does TREASURE RICHARDSON (RN) have multiple addresses?
9 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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