Active NPI
Ann M Hickson, O.D., M.S.
- Optometrist
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2904
- Practice address
- 237 Radio Dr Ste 100
Woodbury, MN 55125-4478 - Phone
- (651) 275-3000
- Fax
- (651) 275-3027
- NPI assigned
- Jun 15, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 2904 | MN | |
| Optometrist | 152W00000X | 2904 | MN | Primary |
Addresses
Primary practice location
237 Radio Dr Ste 100
Woodbury, MN 55125-4478
Mailing address
1719 Tower Dr W
Ste 100
Stillwater, MN 55082-7512
Phone (651) 275-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00125285 | Other | MN | RAILROAD MEDICARE |
| 248600800 | Medicaid | MN |
Other names 1
- Ann M Hulstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
237 Radio Dr
Suite 100
Woodbury, MN 55125-4478
Phone (651) 275-3000
2651 Hillcrest Dr
Hudson, WI 54016-4439
Phone (651) 275-3000
2950 Curve Crest Blvd W
Stillwater, MN 55082-5085
Phone (651) 275-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.67 of 100
- Quality
- 86.92
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 73.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2904 | MN | MD | Mental Health Counselor |
| 2945 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Eye Care LTD | Optometrist | Current | Accepting new patients |
| Associated Eye Care Optical LLC | Past | Accepting new patients |
Locations
2380 Rosemary Way
Lino Lakes, MN 55038
280 Smith Ave N
Ste 840
Saint Paul, MN 55102
1719 Tower Dr W
#100
Stillwater, MN 55082
Phone (651) 275-3050
2950 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 275-3050
237 Radio Dr
Ste 100
Woodbury, MN 55125
2651 Hillcrest Dr
Ste 104
Hudson, WI 54016
2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648
821 W 8th St
New Richmond, WI 54017
Phone (715) 246-6911
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
525 N Knowles Ave
#200
New Richmond, WI 54017
Phone (715) 483-1785
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ann.hicksonod.p1@direct.associated-eyecare.nextgenshare.com
- ann.hicksonod.p2@direct.associated-eyecare.nextgenshare.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 and National Provider Directory roles.
-
- Eyewear Supplier
- Hudson, WI
- NPI 1205214236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1851396147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 TOWER DR W",
"address_2": "STE 100",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550827512",
"telephone_number": "651-275-3000",
"fax_number": "651-275-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 RADIO DR STE 100",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254478",
"telephone_number": "651-275-3000",
"fax_number": "651-275-3027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKSON",
"first_name": "ANN",
"middle_name": "M",
"credential": "O.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MN",
"license": "2904",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00125285",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "248600800",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "HULSTEIN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.