Jack Richard
Physician Assistant · Providence, RI
Jack Richard is a physician assistant with a practice address in Providence, Rhode Island, and NPI 1730926940, issued on Jul 15, 2024. Check the license (Rhode Island PA01719, as entered in NPPES) with the Rhode Island board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jack Richard
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA01719 RI
Self-reported in NPPES; status is on the state search - Practice location
- 33 Staniford St, Providence, RI 02905
- Phone
- (401) 421-8800
- Enumerated
- Jul 15, 2024
- Record last updated
- Oct 28, 2024
- Fax
- (401) 421-2492
- Medicare enrollment
- Enrolled (PECOS I20250130002448); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 683 in Rhode Island → Look up another NPI →
Also registered at 33 Staniford St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Paul Akerman, MDGastroenterology Physician1942302773
- Bridget Fitzgibbon, FNPFamily Nurse Practitioner1679976187
- Mary Fortuna-Silva, NPFamily Nurse Practitioner1306917521
- Colleen Fullerton, NPFamily Nurse Practitioner1528139730
- Lea Kelly, NP-CNurse Practitioner1790295285
- Sheldon Lidofsky, MDGastroenterology Physician1447336904
Verify Jack Richard in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Rhode Island board licenses this profession
Search for license PA01719Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $173.61
3 payments; by number, the most common kind was food and beverage; the largest payer was Phathom Pharmaceuticals, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- University Gastroenterology, LLCProvidence, RI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jack Richard among 683 physician assistant records in Rhode Island
Jack Richard is one of 683 physician assistant records with a practice address in Rhode Island. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 82% of them.
- NPI issued2024 · 82% of these records are older, 12% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2024 · median 2019 among the 490 with a school on file
- Record last updated2024 · 30% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
266 physician assistant records list a practice address in Providence
They are 266 of the 9,647 NPPES records with a practice address in Providence, and 683 physician assistant records in Rhode Island.
All 683 in Rhode Island → Every provider in Providence → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Diana Afonso, PAProvidence, RI 029051750690392
- Brittany Algiere, PA-CProvidence, RI 029051639604549
- Luzviminda Conte, PAProvidence, RI 029051700874690
- Anne Dacosta, PA-CProvidence, RI 029051700372356
- Phyllis Dolcy, PHYSICIAN ASSISTANTProvidence, RI 029051134659238
- James Gordon, PAProvidence, RI 029051912918731
- Kristen Hannigan, PA-CProvidence, RI 029051750828596
- Scott Lamay, PA-CProvidence, RI 029051194394551
Common questions
What is Jack Richard's NPI number?
Jack Richard's National Provider Identifier (NPI) is 1730926940, issued on Jul 15, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Jack Richard located?
The NPPES record lists a practice address at 33 Staniford St, Providence, RI, 02905. Phone: (401) 421-8800. Providers update this record themselves, so call before visiting.
How can I verify Jack Richard's license?
NPPES lists Rhode Island license number PA01719, as entered by the provider. Search the Rhode Island board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.