Individual provider Active NPI

Nicole Mikels, OD

  • Optometrist
  • Monticello, IN
National Provider Identifier
1114455508
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004019A Issued in IN
Practice address
506 S Country LN
Monticello, IN 47960-1875
Phone
(574) 586-5531
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004019A IN Primary

Addresses

Primary practice location

506 S Country LN
Monticello, IN 47960-1875

Mailing address

506 S Country LN
Monticello, IN 47960-1875
Phone (574) 586-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170614001365 IN Practitioner - Optometry 6507134624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

913 W Executive CT
Monticello, IN 47960-3303
Phone (574) 583-5531

Merit-based Incentive Payment System (MIPS)

Final score
18.33 of 100Reported as individual
Quality
36.67
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Optometry PC Optometrist CurrentSince Dec 20, 2019 Accepting new patients

Locations

506 S Country Ln
Monticello, IN 47960
Phone (574) 583-5531

913 W Executive Ct
Monticello, IN 47960
Phone (574) 583-5531

Organizations & group practices 1

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114455508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S COUNTRY LN",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601875",
            "telephone_number": "574-586-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S COUNTRY LN",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601875",
            "telephone_number": "574-586-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELS",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004019A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

Verify at the official NPI Registry.