Kristin M Sansburn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003774 Issued in MI

Practice address

116 N Tuscola Rd
Bay City, MI 48708-6961

Phone

(989) 892-9595

Fax

(989) 892-3080

NPI assigned

Aug 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Eye Care Center, PCGroup PAC ID 7012900319, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.05 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.84

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kristin.sansburn.p1@direct.becc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Eye Care Center, PC

  • Ophthalmology Physician
  • Bay City, MI
  • NPI 1235168915
  Medicare reassignment Care Compare group NPD
• Bay Eye Care Center, PC

  • Optometrist
  • Bay City, MI
  • NPI 1679595201
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003829193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N TUSCOLA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086961",
            "telephone_number": "989-892-9595",
            "fax_number": "989-892-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N TUSCOLA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086961",
            "telephone_number": "989-892-9595",
            "fax_number": "989-892-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSBURN",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Sanderson
• Laura Marie Sandy, LMSW
• Sang H Oh M.D. P.C.
• Triptpal Singh Sanghera, M.D.
• Denesha Sangster
• James H Santala, CRNA
• Frances Paula Santoro, D.D.S.
• Sargent Chiropractic Clinic PLLC
• Sargent Clinic PC
• Kayle Amber Satterwhite, LMSW, CAADC

• Optometrist in Bay City, MI
• Providers in Bay City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.