Renae Elizabeth Welke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

683 Issued in SD

Practice address

240 Minnesota St
Rapid City, SD 57701-6200

Phone

(605) 719-9499

Fax

(605) 719-9509

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SD

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, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Family Optical P CGroup PAC ID 9537289152, 2 clinicians

Slingsby and Huot Eye Associates ProfGroup PAC ID 3476806530, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87 of 100Reported as group

Quality

100

Improvement activities

40

Cost

56.66

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwelke@visioncare.intellechartdirect.net

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.

• Family Optical P C

  • Optometrist
  • Spearfish, SD
  • NPI 1003950122
  Medicare reassignment Care Compare group NPD
• Slingsby & Huot Eye Associates Prof

  • Ophthalmology Physician
  • Rapid City, SD
  • NPI 1962901561

  Optometrist

  Medicare reassignment Care Compare group NPD
• Renae E Welke OD LLC

  • Optometrist
  • Sturgis, SD
  • NPI 1346981941
  NPD Authorized official
• Your Eyes Only Optical, Inc

  • Eyewear Supplier
  • Rapid City, SD
  • NPI 1487797320
  NPD
• Slingsby & Huot Eye Associates Prof

  • Ophthalmology Physician
  • Chadron, NE
  • NPI 1760042055
  NPD

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1487935730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016200",
            "telephone_number": "605-719-9499",
            "fax_number": "605-719-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016200",
            "telephone_number": "605-719-9499",
            "fax_number": "605-719-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKE",
        "first_name": "RENAE",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026801800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1487935730",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154811500",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004371",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Eugene Weideman
• Cindy Weidenbach
• Jenna Anne Weidenbach
• Kevin Weiland
• Taylor Weitzel, RBT
• Bryan J Wellman, MD
• Wellspring
• Wellspring Inc.
• Wellspring, Inc.
• Wellspring, Inc.

• Optometrist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.