Rachel Ann Hennen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3585 Issued in MN

Practice address

1540 Humboldt Ave
West Saint Paul, MN 55118-3417

Phone

(651) 457-2020

NPI assigned

Jul 27, 2018

Last updated

Jul 27, 2018By 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 MN

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

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Optometric Eye Care Associates, P.a.Group PAC ID 0749381218, 5 clinicians

MJH LLCGroup PAC ID 9032472139, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Dakota Optometric Eye Care Associates, P.a.

  • Optometrist
  • Saint Paul, MN
  • NPI 1598773780
  Medicare reassignment Care Compare group NPD
• MJH LLC

  • Optometrist
  • Stillwater, MN
  • NPI 1558723411
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1255818613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 HUMBOLDT AVE",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183417",
            "telephone_number": "651-457-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HUMBOLDT AVE",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183417",
            "telephone_number": "651-457-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEN",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Rafael Harrington Dooley, LICSW
• Chelsie Marie Hartzell
• Heavenly Caregivers LLC
• Jean Marie Helfman, LCMT
• Helping Hands Health Care Services, LLC
• Timothy J Hernandez, MD
• Hmong and Laotian Health Care, Inc.
• Mai Hoang
• Homecoming Housing Services, LLC (Homecoming Housing Services)
• Maureen Honish, MD

• Optometrist in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.