Individual provider Active NPI

Rebecca A Huisken, O.D.

  • Optometrist
  • New Ulm, MN
National Provider Identifier
1386843456
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3096 Issued in MN
Practice address
1715 S Broadway St
New Ulm, MN 56073-3751
Phone
(507) 354-8531
Fax
(507) 359-1124
NPI assigned
Jul 17, 2007
Last updated
Jan 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3096 MN Primary

Addresses

Primary practice location

1715 S Broadway St
New Ulm, MN 56073-3751

Mailing address

1715 S Broadway St
New Ulm, MN 56073-3751
Phone (507) 354-8531

Other identifiers 6

IdentifierTypeStateIssuer
467693000MedicaidMN
139787OtherMNUCARE
HP84385OtherMNHEALTHPARTNERS
6I476CHOtherMNBLUE CROSS BLUE SHIELD
930521052557OtherMNPREFERRED ONE
1386843456OtherMNMEDICA

Other names 1

  • Rebecca A Schuller Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071029000128 MN Practitioner - Optometry 9739276460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Akre and Clark LTDGroup PAC ID 5698762714, 4 clinicians

Practice addresses (Care Compare)

1715 S Broadway
New Ulm, MN 56073
Phone (507) 354-8531

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as group
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3096MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Akre & Clark, LTD. Optometrist CurrentSince Oct 1, 2007 Accepting new patients
DRS. Akre & Clark, LTD. Optometrist CurrentSince Oct 1, 2007 Accepting new patients
DRS. Akre & Clark, LTD. Optometrist PastSince Dec 1, 2019 Accepting new patients

Locations

1715 S Broadway St
New Ulm, MN 56073
Phone (507) 354-8531

623 W Rock St
Springfield, MN 56087
Phone (507) 354-8531

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1386843456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733751",
            "telephone_number": "507-354-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733751",
            "telephone_number": "507-354-8531",
            "fax_number": "507-359-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUISKEN",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "467693000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "139787",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP84385",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6I476CH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "930521052557",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1386843456",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SCHULLER",
            "middle_name": "A",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Ulm, MN

Sources for this page

Verify at the official NPI Registry.