Individual provider Active NPI

Kristen Renee Worthen, OD

  • Optometrist
  • Aurora, CO
National Provider Identifier
1346779972
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3311 Issued in CO
Practice address
1399 S Havana St Ste 101
Aurora, CO 80012-4041
Phone
(303) 750-7621
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3311 CO Primary

Addresses

Primary practice location

1399 S Havana St Ste 101
Aurora, CO 80012-4041

Mailing address

1399 S Havana St Ste 101
Aurora, CO 80012-4041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170821000118 CO Practitioner - Optometry 2163794561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Jost OD PC 2 clinicians

Practice addresses (Care Compare)

710 N Circle Dr
Colorado SPGS, CO 80909-5122
Phone (719) 632-1587

Merit-based Incentive Payment System (MIPS)

Final score
90.6 of 100Reported as individual
Quality
71.19
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3311COMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Jost OD PC Optometrist CurrentSince Mar 18, 2019 Accepting new patients
Advanced Eyecare Centers, PC Optometrist CurrentSince Jul 19, 2017 Accepting new patients

Locations

1399 S Havana St
Ste 101
Aurora, CO 80012
Phone (303) 750-7621

710 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 632-1587

7447 E Arapahoe Rd
Ste 6
Englewood, CO 80112
Phone (303) 770-8081

9695 S Yosemite St
Ste 100
Lone Tree, CO 80124
Phone (303) 944-2020

Interoperability endpoints

  • Direct secure messaging: kristen.worthen@direct.revolutionehr.com

Organizations & group practices 2

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1346779972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 S HAVANA ST STE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S HAVANA ST STE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124041",
            "telephone_number": "303-750-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.