Individual provider Active NPI

Courtney A Kness, O.D.

  • Optometrist
  • Holdrege, NE
National Provider Identifier
1013295252
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14107 Issued in CA
Practice address
503 McMillan St
Holdrege, NE 68949-2052
Phone
(308) 995-8697
Fax
(908) 995-6931
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14107 CA Primary
Optometrist 152W00000X 1356 NE

Addresses

Primary practice location

503 McMillan St
Holdrege, NE 68949-2052

Mailing address

74174 US Highway 183
Holdrege, NE 68949-4052
Phone (619) 252-8570

Other identifiers 1

IdentifierTypeStateIssuer
47061665413MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20170613000197 VA Practitioner - Optometry 1658534581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Virginia Eye Associates PCGroup PAC ID 9436328739, 5 clinicians

Practice addresses (Care Compare)

1108 Cedar Rd
Chesapeake, VA 23322-7102
Phone (757) 436-3937

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
69.99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1356NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Aaron Werner OD, Inc Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Eastern Virginia Eye Associates, PC Optometrist CurrentSince Jan 9, 2017 Accepting new patients
Teresa a Shenouda MD PLLC PastSince Jan 9, 2017 Accepting new patients
Holdrege Family Vision Clinic PC Optometrist Past Accepting new patients
Holdrege Family Vision Clinic PC Optometrist Past Accepting new patients

Locations

2650 Jamacha Rd
Ste 155
El Cajon, CA 92019
Phone (619) 670-6296

1108 Cedar Rd
Chesapeake, VA 23322
Phone (757) 436-3937

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13340/brand/1/csg/1/fhir/r4
  • Direct secure messaging: drkness.ieg@direct.ocuhub.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1013295252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74174 US HIGHWAY 183",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689494052",
            "telephone_number": "619-252-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492052",
            "telephone_number": "308-995-8697",
            "fax_number": "908-995-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNESS",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14107",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061665413",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

Verify at the official NPI Registry.