Nancy Cozette Ekelund, OD
Individual provider Active NPI Optometrist · Shingletown, CA
NPI 1215910641 · NPPES record last updated Feb 18, 2026
Key facts
- NPI
- 1215910641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 7944TPG (CA)
- Practice address
- 7355 Black Butte Rd # 2a
Shingletown, CA 96088-9478 - Phone
- (530) 387-5499
- Fax
- (530) 212-3724
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7355 Black Butte Rd
BLDG 2a
Shingletown, CA 96088-9478
Phone (530) 387-5499
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.7 of 100
- Quality
- 87.3
- Improvement activities
- 40
- Cost
- 59.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040526000396 | CA | Practitioner - Optometry | 7618958802 | Practice locations: Shingletown, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7944TPG | CA | MD | Optometrist |
| 79444 | CA | MD | Pharmacist |
Interoperability endpoints
- nancy.ekelund.p9@direct.inlandeyespecialists.nextgenshare.com
- nancyekelundod@shastaeye.direct.eyemdemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7944TPG | CA | Yes |
Addresses
Primary practice location
7355 Black Butte Rd # 2a
Shingletown, CA 96088-9478
Mailing address
7355 Black Butte Rd # 2a
Shingletown, CA 96088-9478
Phone (530) 387-5499
Other providers in Shingletown, CA
- Black Butte Union Elementary School District
- Colleen Cambra
- Nicole Lane Clark
- John Crowe
- Jane Maureen Delehanty
- Beth Greenwood
- Howard Michael Grindlinger
- Tracy Higgins
- Albert Gordon Lui
- Kimberly Jean Malson
All providers in Shingletown, CA · Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.