Individual provider Active NPI

Ann M Hickson, O.D., M.S.

  • Optometrist
  • Woodbury, MN
National Provider Identifier
1851396147
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2904 Issued in MN
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

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00125285OtherMNRAILROAD MEDICARE
248600800MedicaidMN

Other names 1

  • Ann M Hulstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031229000778 WI Practitioner - Optometry 2163320144 Reassigns benefits to 1 organization
I20100209000744 MN Practitioner - Optometry 2163320144 Reassigns benefits to 1 organization

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
Associated Eye Care LTDGroup PAC ID 4486552437, 19 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
2904MNMDMental Health Counselor
2945WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care LTD Optometrist CurrentSince Oct 13, 2003 Accepting new patients
Associated Eye Care Optical LLC PastSince May 17, 2020 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ann.hicksonod.p1@direct.associated-eyecare.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.