Miranda Lepinski-Peterson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3436 Issued in MN

Practice address

560 Cedar St
Monticello, MN 55362-8403

Phone

(763) 270-2020

NPI assigned

Jun 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MLP OptometryGroup PAC ID 3870820814, 6 clinicians

Elaine Happ OD PAGroup PAC ID 3375580426, 5 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 and National Provider Directory roles.

• Elaine Happ OD PA

  • Optometrist
  • Monticello, MN
  • NPI 1033281597
  Medicare reassignment Care Compare group NPD
• MLP Optometry LTD

  • Optometrist
  • Saint Cloud, MN
  • NPI 1801454608
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1386025864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628403",
            "telephone_number": "763-270-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628403",
            "telephone_number": "763-270-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPINSKI-PETERSON",
        "first_name": "MIRANDA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386025864",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EyePegasus",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "560 Cedar St",
            "city": "Monticello",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553628403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Diane B Larson, CNM
• Legacy Staffing Agency LLC
• William John Lepkowski, PHD
• Mari Liestman
• Lifespan Mental Health, PLLC
• Kelly Cameron Lindberg, LADC
• Kali Lindenfelser, MS, CCC-SLP

• Optometrist in Monticello, MN
• Providers in Monticello, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.