Individual provider Active NPI

Abbie Nell Rondeau Nelson, O.D.

  • Optometrist
  • Platte City, MO
National Provider Identifier
1811159361
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2008017061 Issued in MO
Practice address
2441NW Prairie View Road
Platte City, MO 64079
Phone
(816) 858-2522
Fax
(816) 858-2946
NPI assigned
Jun 26, 2008
Last updated
Apr 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2008017061 MO Primary

Addresses

Primary practice location

2441NW Prairie View Road
Platte City, MO 64079

Mailing address

2441NW Prairie View Road
Platte City, MO 64079
Phone (816) 858-2522

Other identifiers 1

IdentifierTypeStateIssuer
1811159361MedicaidMO

Other names 1

  • Dr. Abbie Rondeau Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20090622000461 MO Practitioner - Optometry 2163573783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bennett Eyecare Midwest LLCGroup PAC ID 5890840185, 7 clinicians

Practice addresses (Care Compare)

2441 NW Prairie View Rd
Platte City, MO 64079-7627
Phone (816) 858-2522

2441 NW Prairie View Rd a
Platte City, MO 64079-7608

2441 NW Prairie View Rd a
Platte City, MO 64079-7627

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008017061MOMDOptometrist

Interoperability endpoints

  • Direct secure messaging: abbie.rondeau-nelson.1@16003.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1811159361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441NW PRAIRIE VIEW ROAD",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "64079",
            "telephone_number": "816-858-2522",
            "fax_number": "816-858-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441NW PRAIRIE VIEW ROAD",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "64079",
            "telephone_number": "816-858-2522",
            "fax_number": "816-858-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDEAU NELSON",
        "first_name": "ABBIE",
        "middle_name": "NELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008017061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811159361",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBIE",
            "last_name": "RONDEAU",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Platte City, MO

Sources for this page

Verify at the official NPI Registry.