Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haley C Richardson

Individual provider Physician Assistant · NPI 1104454768

Haley C Richardson is a Physician Assistant in Jeffersonville, Indiana. Qualified in 2020, 6 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
6
Licensed in
IN, KY
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1220 Spring St
Jeffersonville, IN 47130-3704
Phone: (812) 282-8494
Fax: (812) 288-4481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 550 S Landmark Ave, Bloomington, IN 47403-3239 — (812) 355-6900
  • 9408 Tunnel Mill Rd, Marysville, IN 47141-9721 — (812) 207-8212
  • 3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 — (502) 637-3311

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003008A (IN)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence TC165 (KY)

Record details

NPI number1104454768
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing addressPo Box 776351, Chicago, IL 60677-6351

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Jeffersonville