Individual provider Active NPI

Misty Purfeerst, O.D.

  • Optometrist
  • Faribault, MN
National Provider Identifier
1174834022
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3206 Issued in MN
Practice address
1575 20TH St NW
Ste 101
Faribault, MN 55021-2930
Phone
(507) 332-9900
Fax
(507) 332-6800
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3206 MN Primary

Addresses

Primary practice location

1575 20TH St NW
Ste 101
Faribault, MN 55021-2930

Mailing address

1575 20TH St NW
Ste 101
Faribault, MN 55021-2930
Phone (507) 332-9900

Other names 1

  • Dr. Misty Piller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100902000695 MN Practitioner - Optometry 7911021555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Faribault, PAGroup PAC ID 9436052677, 10 clinicians

Practice addresses (Care Compare)

1575 20TH St NW
Faribault, MN 55021-2931
Phone (507) 332-9900

Merit-based Incentive Payment System (MIPS)

Final score
91.03 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3206MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic of Faribault PA Optometrist CurrentSince Jun 24, 2010 Accepting new patients

Locations

1575 20th St NW
Ste 101
Faribault, MN 55021
Phone (507) 332-6800

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, 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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1174834022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW",
            "address_2": "STE 101",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212930",
            "telephone_number": "507-332-9900",
            "fax_number": "507-332-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW",
            "address_2": "STE 101",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212930",
            "telephone_number": "507-332-9900",
            "fax_number": "507-332-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURFEERST",
        "first_name": "MISTY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "PILLER",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Faribault, MN

Sources for this page

Verify at the official NPI Registry.