Active NPI
Jaime Hoenke, O.D.
- Optometrist
- Thief River Falls, MN
National Provider Identifier
1124353206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3302
- Practice address
- 1755 Highway 59 S
Thief River Falls, MN 56701-4317 - Phone
- (701) 520-2462
- NPI assigned
- Oct 7, 2009
- Last updated
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3302 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1755 Highway 59 S
Thief River Falls, MN 56701-4317
Mailing address
1560 Western Ave
Grafton, ND 58237-2036
Phone (701) 520-2462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Hill Ave
Grafton, ND 58237-1001
Phone (701) 352-1370
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 699 | ND | MD | Registered Dietitian |
| 3302 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Eye Care, P.C. | Optometrist | Current | Accepting new patients |
| Heartland Eye Care, PC | Optometrist | Current | Accepting new patients |
Locations
415 Hill Ave
Grafton, ND 58237
Phone (701) 352-1370
Interoperability endpoints
- jaime.hoenke@direct.revolutionehr.com
Organizations & group practices 3
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.
-
- Optometrist
- Park River, ND
- NPI 1932277936
-
- Optometrist
- Grand Forks, ND
- NPI 1619168267
-
- Optometrist
- Grafton, ND
- NPI 1518026046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1124353206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 WESTERN AVE",
"city": "GRAFTON",
"state": "ND",
"postal_code": "582372036",
"telephone_number": "701-520-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 HIGHWAY 59 S",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "567014317",
"telephone_number": "701-520-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOENKE",
"first_name": "JAIME",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3302",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thief River Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.