Charlotte Amy Richardson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fayetteville, NC

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Charlotte Amy Richardson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fayetteville, North Carolina. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Raleigh Sedation Associates Llc, Cumberland County Hospital System Inc and her current practice location is 1638 Owen Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 615-7913.

Charlotte Amy Richardson is licensed to practice in North Carolina (license number CCNA5233) 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 1053755181.

Contact Information

Charlotte Amy Richardson, CRNA
1638 Owen Dr,
Fayetteville, NC 28304-3424
(910) 615-7913
(910) 615-9787

Map and Direction




Provider's Profile

Full NameCharlotte Amy Richardson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location1638 Owen Dr, Fayetteville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charlotte Amy Richardson graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1053755181
  • Provider Enumeration Date: 04/19/2013
  • Last Update Date: 08/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1456593961
  • Enrollment ID: I20151117001937

Medical Identifiers

Medical identifiers for Charlotte Amy Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053755181NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN2282749 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered CCNA5233 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Fear Valley Medical CenterFayetteville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Raleigh Sedation Associates Llc125469862421
Cumberland County Hospital System Inc1850204041532

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. Charlotte Amy Richardson allows following entities to bill medicare on her behalf.
Entity NameCumberland County Hospital System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881946242
PECOS PAC ID: 1850204041
Enrollment ID: O20031112000693
Entity NameBladen Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558537282
PECOS PAC ID: 6800967969
Enrollment ID: O20080617000314
Entity NameAnesthesia Care Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609833474
PECOS PAC ID: 7012937105
Enrollment ID: O20090813000373
Entity NameRaleigh Sedation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639698533
PECOS PAC ID: 1254698624
Enrollment ID: O20171121000665
Entity NameRsa Johnston Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346094380
PECOS PAC ID: 5799225512
Enrollment ID: O20240909000193

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. Charlotte Amy 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 AddressPractice Location Address
Charlotte Amy Richardson, CRNA
1638 Owen Dr,
Fayetteville, NC 28304-3424

Ph: (910) 615-6949		Charlotte Amy Richardson, CRNA
1638 Owen Dr,
Fayetteville, NC 28304-3424

Ph: (910) 615-7913

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fayetteville, NC

Mrs. Leesa Davis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-609-6440    Fax: 910-609-5365
Mrs. Miriah Catherine Adams, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-615-5132    
Dr. Jonathan Ray Hall, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304
Phone: 910-323-3757    
Edelrose Fortea Bacanto, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 805-509-7556    
Miss Jennifer Shattuck, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-609-6440    Fax: 910-609-5365
Jennifer Myles, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-615-5132    Fax: 910-321-6236
Mrs. Debbie Morales, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-609-6440    Fax: 910-609-5365

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.