Individual provider Active NPI

Michelle Kaye Carter, OD

  • Optometrist
  • Grafton, ND
National Provider Identifier
1497747984
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
573 Issued in ND
Practice address
415 Hill Ave
Grafton, ND 58237-1001
Phone
(701) 352-1370
Fax
(701) 352-1376
NPI assigned
Aug 19, 2005
Last updated
Aug 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 573 ND Primary

Addresses

Primary practice location

415 Hill Ave
Grafton, ND 58237-1001

Mailing address

415 Hill Ave
Grafton, ND 58237-1001
Phone (701) 352-1370

Other identifiers 5

IdentifierTypeStateIssuer
1497747984OtherNDNPI
51159CAOtherMNBCBS, MN
860573OtherNDND VISION SERVICES
60526MedicaidND
22784OtherNDBCBS, ND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20040119000562 ND Practitioner - Optometry 1052212396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Eye Care, PCGroup PAC ID 2466442041, 5 clinicians

Practice addresses (Care Compare)

415 Hill Ave
Grafton, ND 58237-1001
Phone (701) 352-1370

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
92.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Eye Care, P.C. Optometrist CurrentSince Jan 7, 2003 Accepting new patients
Heartland Eye Care, PC Optometrist CurrentSince Jan 7, 2003 Accepting new patients

Locations

415 Hill Ave
Grafton, ND 58237
Phone (701) 352-1370

Interoperability endpoints

  • Direct secure messaging: michelle.carter@direct.revolutionehr.com

Organizations & group practices 2

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1497747984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HILL AVE",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371001",
            "telephone_number": "701-352-1370",
            "fax_number": "701-352-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HILL AVE",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371001",
            "telephone_number": "701-352-1370",
            "fax_number": "701-352-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MICHELLE",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497747984",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, MN",
            "identifier": "51159CA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND VISION SERVICES",
            "identifier": "860573",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60526",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, ND",
            "identifier": "22784",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, ND

Sources for this page

Verify at the official NPI Registry.