Individual provider Active NPI

Kristie Renae Semrow, O.D.

  • Optometrist
  • Ames, IA
National Provider Identifier
1184645111
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02357 Issued in IA
Practice address
3800 Lincoln Way
Ames, IA 50014-3402
Phone
(515) 292-4269
Fax
(515) 268-0105
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02357 IA Primary

Addresses

Primary practice location

3800 Lincoln Way
Ames, IA 50014-3402

Mailing address

3118 SE Honeysuckle CT
Ankeny, IA 50021-7213
Phone (515) 965-0610

Other identifiers 6

IdentifierTypeStateIssuer
IA2357OtherIAEYEMED
0741561MedicaidIA
26206OtherIABCBS
54062OtherIADAVIS VISION
44382OtherIASPECTERA
25587OtherIAAVESIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20070611000037 IA Practitioner - Optometry 5294833554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1304 NW 25TH St
Ankeny, IA 50023-7836
Phone (515) 965-0909

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Semrow Family Vision, PC Optometrist CurrentSince Jun 1, 2021 Accepting new patients

Locations

2409 SE Delaware Ave
Ste 104
Ankeny, IA 50021
Phone (515) 965-7711

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184645111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 SE HONEYSUCKLE CT",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500217213",
            "telephone_number": "515-965-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 LINCOLN WAY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143402",
            "telephone_number": "515-292-4269",
            "fax_number": "515-268-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMROW",
        "first_name": "KRISTIE",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IA2357",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0741561",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26206",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "54062",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "44382",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "25587",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.