Kristen Nicole Gaus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3466ATI Issued in OR

Practice address

620 Sierra Rose Dr
Reno, NV 89511-2072

Phone

(775) 689-4519

Fax

(775) 829-2018

NPI assigned

Jul 19, 2011

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen Nicole Gaus Mikkelson Other name

Medicare fee-for-service enrollment

Enrolled in OR, NV2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilson, Conkey and Associates P.C.Group PAC ID 0446299846, 9 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilson, Conkey & Associates, P.C.

  dba Nevada Vision Group

  • Optometrist
  • Reno, NV
  • NPI 1871789370
  Medicare reassignment Care Compare group NPD
• Patrick Ayres, OD, PC

  dba Riverbend Eyecare

  • Optometrist
  • Bend, OR
  • NPI 1619152485
  Medicare reassignment NPD
• Wilson, Conkey & Associates, P.C.

  dba Cochrane Family Eyecare

  • Optometrist
  • Reno, NV
  • NPI 1326769878
  NPD

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1740578202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-689-4519",
            "fax_number": "775-829-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-689-4519",
            "fax_number": "775-829-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 SW Shevlin Hixon Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023189",
            "country_code": "US",
            "telephone_number": "541-317-9747",
            "fax_number": "541-317-1818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16410 3rd St Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Pine",
            "state": "OR",
            "postal_code": "977398002",
            "country_code": "US",
            "telephone_number": "541-536-2911",
            "fax_number": "541-536-2913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUS",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "703",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3466ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MIKKELSON",
            "middle_name": "NICOLE GAUS",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Randall Robert Gates, D.C.
• Gateway Health LLC
• Willie Jerome Gatlin
• Jessica Gaubatz, ATC
• Paula Marre Gauck
• Subani Gautam, M.D.
• Elizabeth A Gautereaux, M.S.
• Natalie Gautereaux
• Teresita Gavile
• Anastasia A Gavrilets, MA, RD

• Optometrist in Reno, NV
• Providers in Reno, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.