Nathan Glen Degn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10419932-9934 Issued in UT

Practice address

849 E 400 S
Salt Lake City, UT 84102-2928

Phone

(801) 328-2020

Fax

(801) 328-2020

NPI assigned

Jul 3, 2017

Last updated

Jul 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mohave Eye Centers LTD.Group PAC ID 7911985247, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84 of 100Reported as individual

Quality

68

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nathan.degn@direct.revolutionehr.com

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.

• Mohave Eye Centers LTD

  • Optometrist
  • Kingman, AZ
  • NPI 1063438257
  Medicare reassignment Care Compare group NPD
• Mohave Eye Center, LTD

  • Optometrist
  • Bullhead City, AZ
  • NPI 1477006724
  NPD

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1619498375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E 400 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022928",
            "telephone_number": "801-328-2020",
            "fax_number": "801-363-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E 400 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022928",
            "telephone_number": "801-328-2020",
            "fax_number": "801-328-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGN",
        "first_name": "NATHAN",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "10419932-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anneliese Dees
• Christi Dees
• Christopher Ralph Defeo, MD
• Bronwyn Deforest
• Sean Defreese
• Luke H. Degraaff, MD
• Libby Reese Degrendele
• Sarah Dehaan
• Selyna Dehaas
• Madison Dehart

• Optometrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.