Individual provider Active NPI

Jesse Vislisel, M.D.

  • Ophthalmology Physician
  • Stillwater, MN
National Provider Identifier
1063704294
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
60618 Issued in MN
Practice address
2950 Curve Crest Blvd W
Stillwater, MN 55082
Phone
(651) 275-3000
Fax
(651) 275-3032
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X 60618 MN
Ophthalmology Physician 207W00000X 60618 MN Primary

Addresses

Primary practice location

2950 Curve Crest Blvd W
Stillwater, MN 55082

Mailing address

1719 Tower Dr W Ste 100
Stillwater, MN 55082-7512
Phone (651) 275-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160623002197 MN Practitioner - Ophthalmology 8325287543 Reassigns benefits to 1 organization
I20161214001788 WI Practitioner - Ophthalmology 8325287543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Eye Care LTDGroup PAC ID 4486552437, 19 clinicians

Practice addresses (Care Compare)

2950 Curve Crest Blvd W
Stillwater, MN 55082-5085
Phone (651) 275-3000

525 N Knowles Ave
Suite 200
New Richmond, WI 54017-1219
Phone (651) 275-3000

Hospital & facility affiliations

  • Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as individual
Quality
88.02
Promoting interoperability
94
Improvement activities
40
Cost
65.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care LTD Ophthalmology CurrentSince Aug 8, 2016 Accepting new patients
Associated Eye Care Optical LLC Past Accepting new patients

Locations

2380 Rosemary Way
Lino Lakes, MN 55038

1719 Tower Dr W
#100
Stillwater, MN 55082
Phone (651) 275-3050

2950 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 275-3050

237 Radio Dr
Ste 100
Woodbury, MN 55125

2651 Hillcrest Dr
Ste 104
Hudson, WI 54016

525 N Knowles Ave
#200
New Richmond, WI 54017
Phone (715) 483-1785

Interoperability endpoints

  • Direct secure messaging: jesse.visliselmd.p3@direct.associated-eyecare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jesse.visliselmd.p1@direct.associated-eyecare.nextgenshare.com
  • Direct secure messaging: jesse.visliselmd.p2@direct.associated-eyecare.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1063704294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 TOWER DR W STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827512",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISLISEL",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MN",
            "license": "60618",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "60618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.