Paige Mauran Nielsen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1413 Issued in NE

Practice address

212 W 9TH St
MC Cook, NE 69001

Phone

(308) 345-2954

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Paige Mauran Bosch Former name

Medicare fee-for-service enrollment

Enrolled in NE

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

Pacific University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Family Vision Clinic LLCGroup PAC ID 8628393915, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• My Family Vision Clinic LLC

  • Optometrist
  • McCook, NE
  • NPI 1043608722
  Medicare reassignment Care Compare group NPD
• Burrows Vision Clinic LLC

  • Optometrist
  • McCook, NE
  • NPI 1821202342
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1497030548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1508",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690011508",
            "telephone_number": "307-331-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W 9TH ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "69001",
            "telephone_number": "308-345-2954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 Eglin St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577016111",
            "country_code": "US",
            "telephone_number": "605-348-4778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 Alden Dr",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820053906",
            "country_code": "US",
            "telephone_number": "307-331-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "PAIGE",
        "middle_name": "MAURAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "401T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "740",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "BOSCH",
            "middle_name": "MAURAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Neel
• Sarah Dawn Nelson
• Nielsen Chiropractic Health Center
• Matthew Nielsen, M.D.
• Michael Richard Nielsen, D.C.
• Billy Chris Nix, DDS, PC
• Northland Hearing Centers, Inc. (Northland Hearing Centers, Inc. dba White's Advanced Hearing)
• Halie Nosal, LMT
• Hanah Nothnagel, MSW
• Rachell O'Conner

• Optometrist in McCook, NE
• Providers in McCook, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.