Dr Kimberly Jane Richmond, DNP, APRN, FNP-C in Clarksville, IN

Dr Kimberly Jane Richmond, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Clarksville, Indiana. Her current practice location is 2205 Greentree N, Clarksville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 218-6560.

Dr Kimberly Jane Richmond is licensed to practice in Indiana (license number 71012567A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558010868.

Contact Information

	Dr Kimberly Jane Richmond, DNP, APRN, FNP-C
	2205 Greentree N, Clarksville, IN 47129-8957
	(812) 218-6560
	(812) 288-2605

Map and Direction

Provider's Profile

Full Name	Dr Kimberly Jane Richmond
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2205 Greentree N, Clarksville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558010868
Provider Enumeration Date: 03/22/2022
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 8022486851
Enrollment ID: I20221128002902

Medical Identifiers

Medical identifiers for Dr Kimberly Jane Richmond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558010868	NPI	-	NPPES
3017563	Other	KY	STATE LICENSE
71012567A	Other	IN	STATE LICENSE
300071015	Medicaid	IN
7100806470	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3107563 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	71012567A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly Jane Richmond allows following entities to bill medicare on her behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437382074 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452

Entity Name	Norton Clark Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083098651 PECOS PAC ID: 0840504114 Enrollment ID: O20150730011797

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Jane Richmond is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kimberly Jane Richmond, DNP, APRN, FNP-C Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490	Dr Kimberly Jane Richmond, DNP, APRN, FNP-C 2205 Greentree N, Clarksville, IN 47129-8957 Ph: (812) 218-6560

Reviews and Comments

Nurse Practitioner Nurses in Clarksville, IN

Danielle Conroy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2205 Greentree N, Clarksville, IN 47129 Phone: 812-218-6560 Fax: 812-288-2605
Joyce Ann Mcclain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 Greentree N, Clarksville, IN 47129 Phone: 812-283-2013 Fax: 812-283-2538
Hannah Nicole Bugby, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Potters Ln, Clarksville, IN 47129 Phone: 443-383-9300 Fax: 855-866-8710
Oluwasayo Sinkaiye, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Potters Ln, Clarksville, IN 47129 Phone: 443-383-9300
Traci A Mccartney, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2051 Clevidence Blvd, Suite 1, Clarksville, IN 47129 Phone: 812-280-9145 Fax: 812-280-6641
Mr. Wallace Dale Fox Jr., APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Main St Unit 177, Clarksville, IN 47129 Phone: 812-946-2674 Fax: 844-832-9625
Mrs. Myrna Velazquez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Potters Ln, Clarksville, IN 47129 Phone: 443-383-9300 Fax: 855-866-8710

Dr Kimberly Jane Richmond, DNP, APRN, FNP-C - Medicare Nurse Practitioner in Clarksville, IN