Kristin L Adams, OD
Individual provider Active NPI Optometrist · Minneapolis, MN
NPI 1447779442 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1447779442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3892 (MN)
- Practice address
- 715 S 8TH St
Minneapolis, MN 55404-1210 - Phone
- (612) 873-6963
- NPI assigned
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hennepin Healthcare System Inc
Practice addresses (Care Compare)
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
Hospital & facility affiliations
- Hennepin County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171011003091 | TN | Practitioner - Optometry | 7517232820 | Reassigns benefits to 1 organization |
| I20231016003372 | MN | Practitioner - Optometry | 7517232820 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3892 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System Inc | Current |
Accepting new patients | |
| Hennepin Healthcare System, Inc | Current |
Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Midwestern University | Past |
Accepting new patients | |
| Hennepin Faculty Associates | Past | Accepting new patients |
Locations
715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3892 | MN | Yes |
Addresses
Primary practice location
715 S 8TH St
Minneapolis, MN 55404-1210
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.