Individual provider Active NPI

Jill M Prilliman, OD

  • Optometrist
  • Andover, KS
National Provider Identifier
1174879100
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1919 Issued in KS
Practice address
135 S Andover Rd
Andover, KS 67002-8037
Phone
(316) 733-4322
Fax
(316) 733-5860
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1919 KS Primary

Addresses

Primary practice location

135 S Andover Rd
Andover, KS 67002-8037

Mailing address

1851 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 858-3831

Other names 1

  • Jill M Huelskamp Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120918000656 KS Practitioner - Optometry 0840448700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven a Kuhl OD LLCGroup PAC ID 7113321498, 35 clinicians

Practice addresses (Care Compare)

135 S Andover Rd
Andover, KS 67002-8037
Phone (316) 733-4322

1851 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 636-2010

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
81.25
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Aug 1, 2012 Accepting new patients
Steven a. Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Aug 1, 2012 Accepting new patients

Locations

135 S Andover Rd
Andover, KS 67002
Phone (316) 733-4322

1851 N Webb Rd
Wichita, KS 67206
Phone (316) 609-2150

1851 N Webb Rd
Bldg 200
Wichita, KS 67206
Phone (316) 636-2010

Interoperability endpoints

  • Direct secure messaging: jill.huelskamp.p1@direct.gvg.nextgenshare.com

Organizations & group practices 4

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1174879100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-858-3831",
            "fax_number": "316-858-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028037",
            "telephone_number": "316-733-4322",
            "fax_number": "316-733-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRILLIMAN",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HUELSKAMP",
            "middle_name": "M",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.