Jessica Kieninger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003980A Issued in IN

Practice address

114 W 3Rd St
Rushville, IN 46173-1846

Phone

(765) 204-5858

Fax

(765) 204-5850

NPI assigned

Jul 5, 2016

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IN

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

Indiana University - School of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K Andrew Yaryan OD LLCGroup PAC ID 3476683160, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• K Andrew Yaryan OD LLC

  • Optometrist
  • Connersville, IN
  • NPI 1053638403
  Medicare reassignment Care Compare group NPD
• Aeg Indiana Professional PC

  • Optometrist
  • Warsaw, IN
  • NPI 1043944127
  Medicare reassignment NPD
• Dr Tabitha G Temple PC

  • Optometrist
  • Warsaw, IN
  • NPI 1851484125
  NPD

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1174975932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W 3RD ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731846",
            "telephone_number": "652-045-8587",
            "fax_number": "765-204-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 3RD ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731846",
            "telephone_number": "765-204-5858",
            "fax_number": "765-204-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENINGER",
        "first_name": "JESSICA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003980A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Nicole Ellen Jett
• Johnson Memorial Hospital (The Waters of Rushville Skilled Nursing Facility)
• Kimberly Dawn Justus, MA.,MHC
• Abdulrazak Kedo, MD
• Clara Kemple
• Christopher L Kimmey, MD
• Kroger Limited Partnership I (Kroger Pharmacy)
• Christine Marie Laker, MS, RD, LDN
• Savannah Lambert
• Pamela Laughlin, FNP-C

• Optometrist in Rushville, IN
• Providers in Rushville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.