DR. KELLY GOLLIHER RICHARDSON (DNP) – Nurse Practitioner, NPI 1306167879

DR. KELLY GOLLIHER RICHARDSON (DNP) is a healthcare provider. based in New braunfels, Texas. specializing in Nurse Practitioner. They hold the professional credentials DNP. They hold a License No. 2021032810 (TX). The NPI Number for DR. KELLY GOLLIHER RICHARDSON (DNP) is 1306167879

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY GOLLIHER RICHARDSON (DNP)
NPI
1306167879
Phone
(210) 386-8940
Address
5616 COPPER CRK
Enumeration Date
18 June 2010
Last Update Date
24 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107572200
Graduation Year
2010 (16 years ago)
PAC ID
4082806724
Group Practice PAC ID
2860626728
Professional Enrollment ID
I20101013000211
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:15State licenses:4Digital endpointsOther names

Provider Addresses for DR. KELLY GOLLIHER RICHARDSON (DNP)

  • 5616 COPPER CRK

    NEW BRAUNFELS, TX 781323921

    Phone: (210) 386-8940

    Type: Mailing

  • 314 CALUMET PL

    SAN ANTONIO, TX 782093402

    Phone: (210) 822-1772

    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: 2010-10-13

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
I20101013000211INurse PractitionerTXTBD

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

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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 78132)

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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: 2860626728View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KELLY GOLLIHER RICHARDSON (DNP)'s NPI?
Yes. DR. KELLY GOLLIHER RICHARDSON (DNP) is listed with NPI 1306167879 in the public NPI dataset.
Is DR. KELLY GOLLIHER RICHARDSON (DNP) listed as active for patients and plans?
The listing shows DR. KELLY GOLLIHER RICHARDSON (DNP) as active in the NPI system.
What is DR. KELLY GOLLIHER RICHARDSON (DNP) best known for clinically?
Directory data describes DR. KELLY GOLLIHER RICHARDSON (DNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KELLY GOLLIHER RICHARDSON (DNP)?
DR. KELLY GOLLIHER RICHARDSON (DNP)'s geographic hint is New Braunfels, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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