Mrs Stephanie Marie Richardson, FNP in Victorville, CA

Mrs Stephanie Marie Richardson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Victorville, California. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 12677 Hesperia Rd Ste 130, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 241-7763.

Mrs Stephanie Marie Richardson is licensed to practice in California (license number 95012316) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982250833.

Contact Information

	Mrs Stephanie Marie Richardson, FNP
	12677 Hesperia Rd Ste 130, Victorville, CA 92395-7735
	(760) 241-7763
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie Marie Richardson
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	12677 Hesperia Rd Ste 130, Victorville, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Stephanie Marie Richardson graduated from nursing school in 2019

NPI Data:

NPI Number: 1982250833
Provider Enumeration Date: 08/16/2019
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 3173937059
Enrollment ID: I20210204002177

Medical Identifiers

Medical identifiers for Mrs Stephanie Marie Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982250833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012316 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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 Stephanie Marie Richardson allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Entity Name	Joel Q. Velasquez, M.d. Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669782595 PECOS PAC ID: 9830372358 Enrollment ID: O20110322000061

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 Stephanie Marie 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 Stephanie Marie Richardson, FNP 5539 Hollister Rd, Phelan, CA 92371-7517 Ph: (760) 220-6022	Mrs Stephanie Marie Richardson, FNP 12677 Hesperia Rd Ste 130, Victorville, CA 92395-7735 Ph: (760) 241-7763

Reviews and Comments

Nurse Practitioner Nurses in Victorville, CA

Bukola Gross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911
Krystle Ann Frazier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Cindy Alvarez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11857 Elliot Way, Victorville, CA 92392 Phone: 818-400-5438

Mrs Stephanie Marie Richardson, FNP - Medicare Nurse Practitioner in Victorville, CA