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

Richelle Lackey, PA-C

Individual provider Physician Assistant · NPI 1518644467

Richelle Lackey, PA-C is a Physician Assistant in Petersburg, Virginia. Qualified in 2023, 3 years ago. Practices with Emergency Medicine Associates PA, PC, a 704-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone: (804) 765-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1518644467
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Emergency Medicine Associates P.A., P.C. — 704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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