Active NPI
Kristen Renee Worthen, OD
- Optometrist
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3311
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 71.19
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3311 | CO | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Jost OD PC | Optometrist | Current | Accepting new patients |
| Advanced Eyecare Centers, PC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Centennial, CO
- NPI 1821160987
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.