Active NPI
Shalon Ann Ronning, OD
- Optometrist
- Sartell, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3504
- Practice address
- 2180 Troop Dr
Sartell, MN 56377-4563 - Phone
- (320) 258-3915
- Fax
- (320) 258-3917
- NPI assigned
- May 22, 2017
- 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 | 3504 | MN | Primary |
Addresses
Primary practice location
2180 Troop Dr
Sartell, MN 56377-4563
Mailing address
2180 Troop Dr
Sartell, MN 56377-4563
Phone (320) 258-3915
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sronning@pineconevisioncenter.emadirect.md | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Southern College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2180 Troop Dr
Sartell, MN 56377-7504
Phone (320) 258-3915
3636 2ND St S
Saint Cloud, MN 56301-3732
Phone (320) 316-9880
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.31 of 100
- Quality
- 35
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3504 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MLP Optometry LTD | Optometrist | Current | Accepting new patients |
| Pinecone Vision Center, PA | Optometrist | Current | Accepting new patients |
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
| Pinecone Vision Center, PA | Optometrist | Current | Accepting new patients |
| Midwest Family Eye Center | Optometrist | Past | Accepting new patients |
Locations
3636 2nd St S
Saint Cloud, MN 56301
Phone (320) 316-9875
1545 Northway Dr
Ste 120
Saint Cloud, MN 56303
Phone (320) 253-2441
3930 Cedar Grove Pkwy
Saint Paul, MN 55122
Phone (612) 454-5661
2180 Troop Dr
Sartell, MN 56377
Phone (320) 221-0028
206 Division St
Waite Park, MN 56387
Phone (320) 253-0365
Interoperability endpoints
- sronning@pineconevisioncenter.emadirect.md
Organizations & group practices 6
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.
-
- Optometrist
- Saint Cloud, MN
- NPI 1801454608
-
- Optometrist
- Sartell, MN
- NPI 1790830701
-
- Optometrist
- Eagan, MN
- NPI 1477732337
-
- Optometrist
- Becker, MN
- NPI 1023615069
-
- Optometrist
- St. Cloud, MN
- NPI 1295468098
-
- Optometrist
- Baxter, MN
- NPI 1700818341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1770010613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 TROOP DR",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774563",
"telephone_number": "320-258-3915",
"fax_number": "320-258-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 TROOP DR",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774563",
"telephone_number": "320-258-3915",
"fax_number": "320-258-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONNING",
"first_name": "SHALON",
"middle_name": "ANN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3504",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sronning@pineconevisioncenter.emadirect.md",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2180 TROOP DR",
"city": "SARTELL",
"state": "MN",
"country_code": "US",
"postal_code": "563774563",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.