KORI DEE RICHARDS (FNP-C) – Family Nurse Practitioner, NPI 1881400711

KORI DEE RICHARDS (FNP-C) is a healthcare provider. based in Kaysville, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4782619-8900 (UT). The NPI Number for KORI DEE RICHARDS (FNP-C) is 1881400711

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KORI DEE RICHARDS (FNP-C)
NPI
1881400711
Phone
(801) 643-3496
Address
508 S 25 E
Enumeration Date
5 December 2024
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013374000
Graduation Year
2024 (2 years ago)
PAC ID
9537662382
Group Practice PAC ID
4284140088
Professional Enrollment ID
I20250909004583
Address ID
UT844045673OG1276XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:1State licenses:2Digital endpointsOther names

2,657 NURSE PRACTITIONER in UT

Provider Addresses for KORI DEE RICHARDS (FNP-C)

  • 508 S 25 E

    KAYSVILLE, UT 840373518

    Phone: (801) 643-3496

    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)

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: 2025-09-09

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
I20250909004583INurse PractitionerUTTBD

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 84037)

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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: 4284140088View full group profile
NameSpecialtyState
Nurse PractitionerUT

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Frequently asked questions

Is KORI DEE RICHARDS (FNP-C) listed with a National Provider Identifier?
Yes — KORI DEE RICHARDS (FNP-C) has NPI 1881400711 on file in the registry.
Is KORI DEE RICHARDS (FNP-C) still an active registrant?
KORI DEE RICHARDS (FNP-C) carries an active NPI according to the public dataset.
What expertise is attributed to KORI DEE RICHARDS (FNP-C)?
KORI DEE RICHARDS (FNP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KORI DEE RICHARDS (FNP-C) associated with Kaysville?
Public fields place KORI DEE RICHARDS (FNP-C) around Kaysville, Utah. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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