Look up the most recent NPI and PECOS records

Yvette Michele Richardson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

448 Castroville Rd, San Antonio, TX 78207-5147

PECOS Enrollment

This provider is enrolled in PECOS as YVETTE RICHARDSON.

Based on the most recent information from CMS, provider Yvette Michele Richardson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1790365369
Provider Type
Individual
Full Name
Richardson, Yvette Michele
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/8/2021
Last Updated
6/2/2025

Contact Information

Practice Location

448 Castroville Rd, San Antonio, TX 78207-5147

(210) 434-1400

(210) 431-7472

Mailing Location

448 Castroville Rd, San Antonio, TX 78207-5147

(210) 434-1400

(210) 431-7472

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1032690 Texas

Yvette Michele Richardson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Jackson, Jauslynn

Mangum, Susan Patricia

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