Mrs Nacresha Nicole Richardson, APRN in Winter Haven, FL

Mrs Nacresha Nicole Richardson, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Winter Haven, Florida. Her current practice location is 99 6th St Sw Ste 104, Winter Haven, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 288-1709.

Mrs Nacresha Nicole Richardson is licensed to practice in Florida (license number APRN11001072) 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 1891259925.

Contact Information

	Mrs Nacresha Nicole Richardson, APRN
	99 6th St Sw Ste 104, Winter Haven, FL 33880-7902
	(863) 288-1709
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nacresha Nicole Richardson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	99 6th St Sw Ste 104, Winter Haven, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891259925
Provider Enumeration Date: 01/23/2019
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 9739415191
Enrollment ID: I20190724000764

Medical Identifiers

Medical identifiers for Mrs Nacresha Nicole Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891259925	NPI	-	NPPES
103918800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN.CNP.00035619 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	AC002702 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11001072 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11001072 (Florida)	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. Mrs Nacresha Nicole Richardson allows following entities to bill medicare on her behalf.

Entity Name	Ethos Health Maryland 1, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144888025 PECOS PAC ID: 6608102041 Enrollment ID: O20190724000086

Entity Name	Ethos Health Maryland 2
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598323479 PECOS PAC ID: 0446586895 Enrollment ID: O20190724000441

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. Mrs Nacresha Nicole Richardson 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
Mrs Nacresha Nicole Richardson, APRN 99 6th St Sw Ste 104, Winter Haven, FL 33880-7902 Ph: (407) 268-6668	Mrs Nacresha Nicole Richardson, APRN 99 6th St Sw Ste 104, Winter Haven, FL 33880-7902 Ph: (863) 288-1709

Reviews and Comments

Nurse Practitioner Nurses in Winter Haven, FL

Yvelene Normil, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4968 Jackson St, Winter Haven, FL 33884 Phone: 786-859-8464
Mrs. Jessica Marie Valente, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Pope Ave Nw, Winter Haven, FL 33881 Phone: 863-293-2144 Fax: 863-293-3732
Amy Londono, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Cambridge Dr, Winter Haven, FL 33881 Phone: 954-512-4009
Cheryl Williams Grothmann, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3250 Crump Rd, Winter Haven, FL 33881 Phone: 941-779-6219
Mrs. Kimberly Joann Jensen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 E Central Ave, Winter Haven, FL 33880 Phone: 863-299-1107 Fax: 863-291-3318
Kaley Puckett, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 435 2nd St Ne, Winter Haven, FL 33881 Phone: 863-333-5723
Ms. Ebony Monique Rollins, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1134 1st St S, Winter Haven, FL 33880 Phone: 863-268-4626

Mrs Nacresha Nicole Richardson, APRN - Medicare Nurse Practitioner in Winter Haven, FL