Stacy Marie Hinkemeyer-Colatrella, O.D. FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

2618 Issued in MN

Practice address

2180 Troop Dr
Sartell, MN 56377-7504

Phone

(320) 258-3915

Fax

(320) 258-3917

NPI assigned

Oct 3, 2006

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinecone Vision Center, PAGroup PAC ID 6800786906, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.31 of 100Reported as group

Quality

35

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: shcenter@pineconevisioncenter.emadirect.md

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.

• Pinecone Vision Center, PA

  • Optometrist
  • Sartell, MN
  • NPI 1790830701
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1881788016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563777504",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563777504",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3274 Nottingham Rd S",
            "address_purpose": "LOCATION",
            "city": "St. Cloud",
            "state": "MN",
            "postal_code": "56301",
            "country_code": "US",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 Troop Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Sartell",
            "state": "MN",
            "postal_code": "563774636",
            "country_code": "US",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINKEMEYER-COLATRELLA",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D. FAAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836996800",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHCenter@pineconevisioncenter.emadirect.md",
            "affiliation": "N",
            "address_1": "2180 Troop Dr # 12",
            "city": "Sartell",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563774582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Hess
• Megan Lynn Highet, MS, MFT
• Tayla Hight
• Brad Douglas Hilger, M.D.
• Sadia Hilowle
• Hodan Arab Hirsi
• Kelsey Faye Hiten, NP
• Lindsey R Hjelm, DPM
• Heidi Hodgins, LADC
• Bijou Isabella Hoehle

• Optometrist in Sartell, MN
• Providers in Sartell, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.

Verify at the official NPI Registry.