Stacey Niehues, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2058 Issued in KS

Practice address

121 W 4TH St # at
Holton, KS 66436-1701

Phone

(785) 364-5000

NPI assigned

Jun 19, 2017

Last updated

Dec 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Southern College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gallagher Eye Care of HoltonGroup PAC ID 9739104241, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.stacey@direct.revolutionehr.com

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.

• Gallagher Eye Care of Holton

  • Optometrist
  • Holton, KS
  • NPI 1417168469
  Medicare reassignment Care Compare group NPD
• Kresie & Penzler, M.D.'S PA

  • Ophthalmology Physician
  • Topeka, KS
  • NPI 1952353740
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1154851483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 4TH ST # AT",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 4TH ST # AT",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361701",
            "telephone_number": "785-364-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEHUES",
        "first_name": "STACEY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Mulkey, PTA
• Michael Martin Myers, DDS
• Nasco, Inc. (Absolute Home Health Care)
• Kevin K Nasseri, MD
• Nicole L. Meerpohl, OD
• Janae D Nilges, APRN-C
• Gary Lee Petry, MD
• Psychological Health Services, LLC (Jessica P. Snyder)
• Quest Services, Inc. (Kansas Place)
• Quest Services, Inc. (Pennsylvania Place)

• Optometrist in Holton, KS
• Providers in Holton, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.