Individual provider Active NPI

Jaime Hoenke, O.D.

  • Optometrist
  • Thief River Falls, MN
National Provider Identifier
1124353206
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3302 Issued in MN
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140413000002 ND Practitioner - Optometry 7810129459 Reassigns benefits to 2 organizations

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
Heartland Eye Care, PCGroup PAC ID 2466442041, 5 clinicians

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 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
699NDMDRegistered Dietitian
3302MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Eye Care, P.C. Optometrist CurrentSince Nov 16, 2013 Accepting new patients
Heartland Eye Care, PC Optometrist CurrentSince Nov 16, 2013 Accepting new patients

Locations

415 Hill Ave
Grafton, ND 58237
Phone (701) 352-1370

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.