Active NPI
Jerika Kirwan, O.D.
- Optometrist
- Wagner, SD
National Provider Identifier
1174906705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 719
- Practice address
- 720 West Hwy 46
Wagner, SD 57380 - Phone
- (605) 384-3565
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 719 | SD | Primary |
Addresses
Primary practice location
720 West Hwy 46
Wagner, SD 57380
Mailing address
310 8TH Ave NW
Aberdeen, SD 57401-2365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
516 W Locust Ave
Plainview, NE 68769-4119
Phone (402) 582-4554
720 W Hwy 46
Wagner, SD 57380-9373
Phone (605) 384-3565
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.73 of 100
- Quality
- 85.15
- Promoting interoperability
- 73
- 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 |
|---|---|---|---|
| 1520 | NE | MD | Physical Therapist |
| 719 | SD | MD | Speech-Language Pathologist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1174906705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 8TH AVE NW",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574012365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WEST HWY 46",
"city": "WAGNER",
"state": "SD",
"postal_code": "57380",
"telephone_number": "605-384-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRWAN",
"first_name": "JERIKA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wagner, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.