Maria Van-Nurden, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MN2722 Issued in MN

Practice address

2100 Little Mountain LN
Mount Vernon, WA 98274-8752

Phone

(360) 416-6735

Fax

(360) 424-6954

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Pacific University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Cascade Eye Associates PSGroup PAC ID 5991699498, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mvannurden@cascadia.emadirect.md

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.

• North Cascade Eye Associates PS

  • Ophthalmology Physician
  • Mount Vernon, WA
  • NPI 1093750481

  Optometrist

  Medicare reassignment Care Compare group NPD
• North Cascade Eye Associates PS

  dba Cascadia Eye

  • Ophthalmology Physician
  • Mount Vernon, WA
  • NPI 1811749013
  NPD
• North Cascade Eye Associates PS

  • Ophthalmology Physician
  • Coupeville, WA
  • NPI 1518495282
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)
• Pearle Vision Inc

  dba Pearle Vision #C6672

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)
• Visual Edge, Inc

  dba Pearle Vision

  • Optician
  • Duluth, MN
  • NPI 1679624621
  NPD (past)
• Visual Edge, Inc

  dba Pearle Vision

  • Optician
  • Bloomington, MN
  • NPI 1841341898
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1063515419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-416-6735",
            "fax_number": "360-424-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-416-6735",
            "fax_number": "360-424-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN-NURDEN",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003472WA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN2722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "1547620",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/MN",
            "identifier": "183M0VA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MN2722",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108405400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/UNITED HEALTH CARE",
            "identifier": "2201774",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cascadia.eye@direct.ncascade.nextgenshare.co",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2100 Little Mountain Ln",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982748752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valley Roots Family Care PLLC
• Kelly Van Allen, LMP, LAC
• Jennifer Sue Van de Grift, LMP
• Lazia Van Wieringen, PA-C
• Alyne Bell Van Winkle
• Jonathan James Vander Schuur, M.S.
• Thomas Carmine Vandeven, D.O.
• Gabriella Marie Vanek, M.S., CCC-SLP
• Robert J. Vanmale, MS, LMHC, CMHS, MHP
• Stacey S Vanwaveren, LMT

• Optometrist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.