Individual provider Active NPI

Rodney W Helm, RODNEY HELM

  • Optometrist
  • Park Rapids, MN
National Provider Identifier
1821057548
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1540 Issued in MN
Practice address
206 Pleasant Ave S
Park Rapids, MN 56470-1417
Phone
(218) 732-3389
Fax
(218) 732-5994
NPI assigned
Mar 21, 2006
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1540 MN Primary

Addresses

Primary practice location

206 Pleasant Ave S
Park Rapids, MN 56470-1417

Mailing address

206 Pleasant Ave S
Park Rapids, MN 56470-1417
Phone (218) 732-3389

Other identifiers 3

IdentifierTypeStateIssuer
680723200MedicaidMN
0516220001OtherMNDMERCB
410031174OtherMNRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000860 MN Practitioner - Optometry 1355379629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.64
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1540MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Rapids Walker Eye Clinic OD PA Optometrist Current Accepting new patients
Park Rapids Walker Eye Clinic O.D., P.a. Optometrist CurrentSince Oct 1, 1966 Accepting new patients
Fercho Cataract & Eye Clinic, Inc. PastSince Mar 16, 2016 Accepting new patients

Locations

100 Huntsinger Ave
Park Rapids, MN 56470
Phone (218) 732-3389

206 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3389

107 6th St S
Walker, MN 56484
Phone (218) 547-3666

Interoperability endpoints

  • Direct secure messaging: rhelm@direct.revolutionehr.com

Organizations & group practices 3

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1821057548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PLEASANT AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701417",
            "telephone_number": "218-732-3389",
            "fax_number": "218-732-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PLEASANT AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701417",
            "telephone_number": "218-732-3389",
            "fax_number": "218-732-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELM",
        "first_name": "RODNEY",
        "middle_name": "W",
        "credential": "RODNEY HELM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680723200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERCB",
            "identifier": "0516220001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410031174",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

Verify at the official NPI Registry.