Look up the most recent NPI and PECOS records

Jason Richard

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Jason Richard 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 today at 9:43 AM.

Profile Details

Provider ID
1841747417
Provider Type
Individual
Full Name
Richard, Jason
Credential
APRN

Gender
Male
Sole Proprietor
No
Enumeration Date
9/1/2016
Last Updated
12/23/2025

Contact Information

Practice Location

2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

(910) 907-8922

Unlisted Fax

Mailing Location

2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 21355 South Carolina
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 21355 South Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 21355 South Carolina

Jason Richard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Cummings, Phillip Howard

Saunders, Rodney

Hilburn, Miranda Ammons

Boatright, Ashley Nichole

Bhowmick, Meghnad

Kim, Emily D

Wilhelm, Amanda

Szafrajda, Karen L

Krug, Silvia

Durgan, Sekeya Edreekia