Active NPI
Michelle Rose Willenbring, O.D.
- Optometrist
- Normal, IL
National Provider Identifier
1679517353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009292
- Practice address
- 407 Kays Dr
Normal, IL 61761-1958 - Phone
- (309) 454-1010
- Fax
- (309) 454-1077
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 046-009292 | IL | Primary |
Addresses
Primary practice location
407 Kays Dr
Normal, IL 61761-1958
Mailing address
407 Kays Dr
Normal, IL 61761-1958
Phone (309) 454-1010
Other names 1
- Mrs. Michelle Rose Feltes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Indiana University - School of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1107 Airport Rd
Bloomington, IL 61704-2544
Phone (309) 662-7700
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.11 of 100
- Quality
- 97.66
- Improvement activities
- 40
- Cost
- 73.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009292 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionpoint Eye Center LLC | Optometrist | Current | Accepting new patients |
Locations
1107 Airport Rd
Bloomington, IL 61704
Phone (309) 662-7700
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1679517353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 KAYS DR",
"city": "NORMAL",
"state": "IL",
"postal_code": "617611958",
"telephone_number": "309-454-1010",
"fax_number": "309-454-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 KAYS DR",
"city": "NORMAL",
"state": "IL",
"postal_code": "617611958",
"telephone_number": "309-454-1010",
"fax_number": "309-454-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLENBRING",
"first_name": "MICHELLE",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "FELTES",
"middle_name": "ROSE",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.