MISS AMANDA ELISE RICHARDSON (PA) – Physician Assistant, NPI 1578953303
Physician Assistant
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NPPES metrics only — not quality of care.
4,469 PHYSICIAN ASSISTANT in VA
Provider Addresses for MISS AMANDA ELISE RICHARDSON (PA)
14558 Danville Pike
Laurel Fork, VA 243523982
Phone: (276) 398-1200
Fax: (276) 398-3331
Type: Location
16 Walnut Ave SW
Roanoke, VA 240164719
Phone: (540) 345-6468
Fax: (540) 345-3204
Type: Location
109 Carrol Dr
Fries, VA 243304532
Phone: (888) 908-4788
Fax: (276) 398-3331
Type: Location
PO BOX 835
FLOYD, VA 240910835
Phone: (540) 745-9290
Fax: (540) 745-9293
Type: Mailing
16 WALNUT AVE SW
ROANOKE, VA 240164719
Phone: (540) 345-6468
Fax: (540) 345-3204
Type: Mailing
140 CHRISTIANSBURG PIKE NE
FLOYD, VA 240913742
Phone: (540) 745-9290
Fax: (540) 745-9293
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,204.
Total Amount is formed as General ($1,204) + Research ($0) + Ownership ($0) = $1,204.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($256).
Total Amount
$1,204
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $256 |
| ABBVIE INC. | $232 |
| AstraZeneca Pharmaceuticals LP | $207 |
| PFIZER INC. | $61 |
| Amgen Inc. | $55 |
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: 2018-10-13
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181013000129 | I | Physician Assistant | VA | TBD |
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.
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 24352)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA |
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