Individual provider Active NPI

Jerry R Hensel, OD

  • Optometrist
  • Lewisburg, PA
National Provider Identifier
1851488126
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001747 Issued in PA
Practice address
137 JPM Rd
Lewisburg, PA 17837-9313
Phone
(570) 523-3937
NPI assigned
Oct 6, 2006
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001747 PA Primary

Addresses

Primary practice location

137 JPM Rd
Lewisburg, PA 17837-9313

Mailing address

96 Sweet Gum Road
Selinsgrove, PA 17870
Phone (570) 374-7904

Other identifiers 4

IdentifierTypeStateIssuer
536441OtherPAAETNA
001563915MedicaidPA
831613OtherPABLUE SHIELD
50045022OtherPACAPITAL BLUE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HENSJER@eccpa.ecldirect.net Direct BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040611000797 PA Practitioner - Optometry 0042293847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 Railroad Ave
Middleburg, PA 17842-1141
Phone (866) 995-3937

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bernstein Hilliker Hartzell Eye Center LLP CurrentSince Feb 1, 2005 Accepting new patients
Bernstein, Hilliker, Hartzell Eye Center, LLP Optometrist CurrentSince Feb 1, 2005 Accepting new patients
Bernstein Hilliker Hartzell Eye Center, LLP Optometrist Past Accepting new patients

Locations

137 Jpm Rd
Lewisburg, PA 17837
Phone 5705233288105

5 Railroad Ave
Middleburg, PA 17842
Phone (570) 837-1251

88 Hardees Dr
Mifflinburg, PA 17844
Phone (570) 538-6002

Interoperability endpoints

  • Direct secure messaging: hensjer@eccpa.ecldirect.net
  • Direct secure messaging: jhensel@eccpa.intellechartdirect.net

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1851488126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 SWEET GUM ROAD",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "17870",
            "telephone_number": "570-374-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 JPM RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379313",
            "telephone_number": "570-523-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSEL",
        "first_name": "JERRY",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "536441",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001563915",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "831613",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE",
            "identifier": "50045022",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HENSJER@eccpa.ecldirect.net",
            "affiliation": "Y",
            "affiliationName": "BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "137 Jpm Rd",
            "city": "Lewisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178379313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.