Individual provider Active NPI

Makayli Kepple, OD

  • Optometrist
  • Seneca, PA
National Provider Identifier
1881329167
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003934 Issued in PA
Practice address
3285 State Route 257
Seneca, PA 16346-2529
Phone
(814) 677-6636
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X OEG003934 PA
Pediatric Optometrist 152WP0200X OEG003934 PA
Optometrist 152W00000X OEG003934 PA Primary

Addresses

Primary practice location

3285 State Route 257
Seneca, PA 16346-2529

Mailing address

103 Arrowhead Rd
Emlenton, PA 16373-2301
Phone (814) 516-7897

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address makaylikepple@wagnerfamilyeyecare.eyefinity-direct.com

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
I20220824001507 PA Practitioner - Optometry 6507249562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagner Family Eyecare PCGroup PAC ID 1254455140, 3 clinicians

Practice addresses (Care Compare)

3285 State Route 257
Seneca, PA 16346-2529
Phone (814) 677-6636

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
91.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003934PAMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Family Eyecare, PC Optometrist CurrentSince Jul 28, 2022 Accepting new patients

Locations

3285 State Route 257
Seneca, PA 16346
Phone (814) 677-6636

Interoperability endpoints

  • Direct secure messaging: makaylit66@wagnerfamilyeyecare.eyefinity-direct.com
  • Direct secure messaging: makaylikepple@wagnerfamilyeyecare.eyefinity-direct.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1881329167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ARROWHEAD RD",
            "city": "EMLENTON",
            "state": "PA",
            "postal_code": "163732301",
            "telephone_number": "814-516-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462529",
            "telephone_number": "814-677-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPLE",
        "first_name": "MAKAYLI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-06-22",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG003934",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG003934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "makaylikepple@wagnerfamilyeyecare.eyefinity-direct.com",
            "affiliation": "N",
            "address_1": "3285 State Route 257",
            "city": "Seneca",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163462529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.