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

Travis Richardson, NP

Individual provider Family Nurse Practitioner · NPI 1821711839

Travis Richardson, NP is a Nurse Practitioner in Port Huron, Michigan. Qualified in 2022, 4 years ago. Practices with Port Huron Internal Medicine Associates, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2603 Electric Ave
Port Huron, MI 48060-6588
Phone: (810) 987-1000
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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 4704307930 (MI)

Record details

NPI number1821711839
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address3775 Pollina Ave, Fort Gratiot, MI 48059-4140

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Port Huron Internal Medicine Associates — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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