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

Mark Richardson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1215305933

Mark Richardson, FNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm, a 223-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP8131 (AZ)

Record details

NPI number1215305933
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2015
Last updated in NPPESApril 11, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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