Active NPI
Jarrod Allen Nelson, O.D.
- Optometrist
- North Branch, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2410
- Practice address
- 5366 386TH St NE
North Branch, MN 55056-5833 - Phone
- (651) 674-6844
- NPI assigned
- Mar 8, 2007
- Last updated
- Jan 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 2410 | MN | Primary |
Addresses
Primary practice location
5366 386TH St NE
North Branch, MN 55056-5833
Mailing address
1479 485TH St W
Stanchfield, MN 55080-4216
Phone (763) 691-8252
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159371 | Other | MN | EYEMED |
| 22-02649 | Other | MN | MEDICA |
| 817S9NE | Other | MN | BLUE CROSS BLUE SHIELD |
| HP28522 | Other | MN | HEALTH PARTNERS |
| 552025800 | Medicaid | MN | |
| 916771028513 | Other | MN | PREFERRED ONE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5366 386TH St NE
North Branch, MN 55056-5833
Phone (651) 674-6844
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.34 of 100
- Quality
- 95.62
- Improvement activities
- 40
- Cost
- 76.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5410 | MN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Eye Care LLC | Optometrist | Current | Accepting new patients |
| Total Eye Care LLC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
11725 Stinson Ave
Chisago City, MN 55013
Phone (651) 257-8421
5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800
26263 Forest Blvd
#300
Wyoming, MN 55092
Phone (651) 982-7720
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
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": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1487785499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 485TH ST W",
"city": "STANCHFIELD",
"state": "MN",
"postal_code": "550804216",
"telephone_number": "763-691-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5366 386TH ST NE",
"city": "NORTH BRANCH",
"state": "MN",
"postal_code": "550565833",
"telephone_number": "651-674-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JARROD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "159371",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "22-02649",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "817S9NE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP28522",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "552025800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "916771028513",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Branch, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.