MARY L RICHARDS (RN MSN CANP) – Nurse Practitioner, NPI 1700829892

MARY L RICHARDS (RN MSN CANP) is a healthcare provider. based in Salem, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials RN MSN CANP. They hold a License No. 083038222N3ANP (OR). The NPI Number for MARY L RICHARDS (RN MSN CANP) is 1700829892

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MARY L RICHARDS (RN MSN CANP)
NPI
1700829892
Phone
(503) 375-6119
Address
1019 PARKWAY DR NW
Enumeration Date
14 June 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039452800
Graduation Year
1997 (29 years ago)
PAC ID
6204800501
Group Practice PAC ID
0547170383
Professional Enrollment ID
I20040823001039
Address ID
OR973012669SA2600XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for MARY L RICHARDS (RN MSN CANP)

  • 1019, Parkway Drive Northwest, West Salem, Salem, Polk County, Oregon, 97304, United States

    SALEM, OR 97304

    Phone: (503) 375-6119

    Type: Mailing

  • 885, Mission Street Southeast, Salem, Marion County, Oregon, 97302, United States

    SALEM CARDIOLOGY ASSOCIATES PC

    SALEM, OR 97302

    Phone: (503) 585-5585

    Fax: (503) 587-7823

    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: 2004-08-23

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
I20040823001039INurse PractitionerORTBD

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 97304)

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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: 0547170383View full group profile

Reviews

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Frequently asked questions

Can I cross-check MARY L RICHARDS (RN MSN CANP) using NPI 1700829892?
NPI 1700829892 belongs to MARY L RICHARDS (RN MSN CANP); compare other details if you need extra assurance.
Is there an active status for MARY L RICHARDS (RN MSN CANP)?
For scheduling context, MARY L RICHARDS (RN MSN CANP) is shown as active in the registry.
What area of care is associated with MARY L RICHARDS (RN MSN CANP)?
MARY L RICHARDS (RN MSN CANP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Oregon is MARY L RICHARDS (RN MSN CANP) registered?
Use Salem, Oregon as the headline location for MARY L RICHARDS (RN MSN CANP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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