Dr Amanda Jean Richardson, RN, PMHNP-BC in Plymouth, MN

Dr Amanda Jean Richardson, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Plymouth, Minnesota. current practice location is 9655 Schmidt Lake Rd, Plymouth, Minnesota. You can reach out to office (for appointments etc.) via phone at (763) 559-1640.

Dr Amanda Jean Richardson is licensed to practice in Minnesota (license number 11728) and also participates in the medicare program. does not accept medicare assignments directly but may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. NPI Number is 1669104899.

Contact Information

	Dr Amanda Jean Richardson, RN, PMHNP-BC
	9655 Schmidt Lake Rd, Plymouth, MN 55442-4529
	(763) 559-1640
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Amanda Jean Richardson
Gender
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9655 Schmidt Lake Rd, Plymouth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669104899
Provider Enumeration Date: 06/27/2022
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9335689488
Enrollment ID: I20240904003377

Medical Identifiers

Medical identifiers for Dr Amanda Jean Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669104899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0807X	Registered Nurse - Psychiatric/mental Health, Child & Adolescent	179569-9 (Minnesota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11728 (Minnesota)	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 Amanda Jean Richardson allows following entities to bill medicare on behalf.

Entity Name	Plymouth Psych Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003195942 PECOS PAC ID: 6800103490 Enrollment ID: O20150915000728

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 Amanda Jean 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
Dr Amanda Jean Richardson, RN, PMHNP-BC 13305 Upton Ave S, Burnsville, MN 55337-2171 Ph: (763) 913-8969	Dr Amanda Jean Richardson, RN, PMHNP-BC 9655 Schmidt Lake Rd, Plymouth, MN 55442-4529 Ph: (763) 559-1640

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, MN

Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842
Sarah Irene Hare, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828
Elizabeth Ann Brennan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Fernbrook Ln N Ste 120, Plymouth, MN 55447 Phone: 763-559-7050 Fax: 763-559-7060
John M Rozman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201
Erica Barbosa De Souza, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441 Phone: 763-744-7256

Dr Amanda Jean Richardson, RN, PMHNP-BC - Medicare Nurse Practitioner in Plymouth, MN