Nerissa Ann Klingelhofer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3606 Issued in MN

Practice address

18562 Minobimaadizi Loop
Onamia, MN 56359-3001

Phone

(320) 532-4163

Fax

(320) 532-4749

NPI assigned

Jul 27, 2016

Sex

Female

Sole proprietor

No

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.

• S Sjoberg PLC

  • Health Service Clinic/Center
  • Crosby, MN
  • NPI 1023424926

  MN, Optometrist

  Medicare reassignment NPD
• S Sjoberg PLC

  • Ophthalmology Physician
  • Baxter, MN
  • NPI 1477961019

  Optometrist

  NPD
• Mille Lacs Band of Ojibwe Indians

  • Federally Qualified Health Center (FQHC)
  • Onamia, MN
  • NPI 1740357169
  NPD (past)

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nklingelhofer827877@direct.centracare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2023.

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1255884151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18562 MINOBIMAADIZI LOOP",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593001",
            "telephone_number": "320-532-4163",
            "fax_number": "320-532-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18562 MINOBIMAADIZI LOOP",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593001",
            "telephone_number": "320-532-4163",
            "fax_number": "320-532-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGELHOFER",
        "first_name": "NERISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Johnson, RPH
• Carol Alvina Kapinos, HHA
• Mohan Raj Karki, MD
• Fahad Khemani, MD
• Carol Kinnaman
• Angela Kray, LPN
• Denise Kulhanek, LPN
• Gertrude Lambert, FNP
• Edmund Alexander Larka, PA
• Cynthia Lou Larson, RN

• All providers in Onamia, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.