Renae Jenelle Richardson, is a medicare enrolled "Nurse Practitioner" in Kimberling City, Missouri. Her current practice location is
11863 State Highway 13, Kimberling City, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 739-1995.
Renae Jenelle Richardson is licensed to practice in Missouri (license number 2021019189) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659045847.
Provider's Profile
Full Name | Renae Jenelle Richardson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 11863 State Highway 13, Kimberling City, Missouri |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Renae Jenelle Richardson attended and graduated from in
NPI Data:
- NPI Number: 1659045847
- Provider Enumeration Date: 08/03/2021
- Last Update Date: 11/20/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Renae Jenelle Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659045847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 2021019189 (Missouri) | Primary |
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. Renae Jenelle 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 |
Renae Jenelle Richardson, 4332 E Ambrose Dr, Springfield, MO 65802-2425 Ph: (417) 251-2922 | Renae Jenelle Richardson, 11863 State Highway 13, Kimberling City, MO 65686-8362 Ph: (417) 739-1995 |
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