Active NPI
Kristal Jones, O.D.
- Optometrist
- New Prague, MN
National Provider Identifier
1821404633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3396
- Practice address
- 1101 1St St NE
New Prague, MN 56071-2197 - Phone
- (952) 758-2080
- Fax
- (952) 758-5922
- NPI assigned
- Jul 1, 2014
- Last updated
- Nov 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3396 | MN | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 3396 | MN |
Addresses
Primary practice location
1101 1St St NE
New Prague, MN 56071-2197
Mailing address
112 Main St E
PO Box 261
New Prague, MN 56071-2440
Phone (952) 758-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821404633 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kristal.Jones@direct.revolutionehr.com | Health Information Exchange (HIE) | Goldsmith Eye Care PC |
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 1St St NE
New Prague, MN 56071-2197
Phone (952) 758-2080
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.2 of 100
- Quality
- 84.41
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3396 | MN | MD | Marriage & Family Therapist |
Interoperability endpoints
- kristal.jones@direct.revolutionehr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- New Prague, MN
- NPI 1609128545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1821404633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MAIN ST E",
"address_2": "PO BOX 261",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560712440",
"telephone_number": "952-758-2080",
"fax_number": "952-758-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 1ST ST NE",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560712197",
"telephone_number": "952-758-2080",
"fax_number": "952-758-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KRISTAL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2023-11-27",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3396",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MN",
"license": "3396",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821404633",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kristal.Jones@direct.revolutionehr.com",
"affiliation": "Y",
"affiliationName": "Goldsmith Eye Care PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1101 1st St NE",
"city": "New Prague",
"state": "MN",
"country_code": "US",
"postal_code": "560712197",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Prague, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.