Individual provider Active NPI

Caitlin Elise-Nosanov Winsor, OD

  • Optometrist
  • Hastings, MI
National Provider Identifier
1770195794
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005458 Issued in MI
Practice address
1761 W M 43 Hwy Ste 1
Hastings, MI 49058-8567
Phone
(269) 945-3888
Fax
(269) 945-2112
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005458 MI Primary

Addresses

Primary practice location

1761 W M 43 Hwy Ste 1
Hastings, MI 49058-8567

Mailing address

1761 W M 43 Hwy Ste 1
Hastings, MI 49058-8567
Phone (269) 945-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210520001452 MI Practitioner - Optometry 5991104127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Creekside Vision and Hearing, PLCGroup PAC ID 1355308263, 2 clinicians

Practice addresses (Care Compare)

1761 W M 43 Hwy
Suite 1
Hastings, MI 49058-8567
Phone (269) 945-3888

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Quality
91.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Vision & Hearing, PLC Optometrist CurrentSince Feb 18, 2021 Accepting new patients

Locations

1761 W M 43 Hwy
Hastings, MI 49058
Phone (269) 945-3888

1761 W M 43 Hwy
Ste 1
Hastings, MI 49058
Phone (269) 945-3888

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1770195794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 W M 43 HWY STE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588567",
            "telephone_number": "269-945-3888",
            "fax_number": "269-945-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 W M 43 HWY STE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588567",
            "telephone_number": "269-945-3888",
            "fax_number": "269-945-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSOR",
        "first_name": "CAITLIN",
        "middle_name": "ELISE-NOSANOV",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

Verify at the official NPI Registry.