Individual provider Active NPI

Kayla Marie Nervick, O.D.

  • Optometrist
  • Lone Tree, CO
National Provider Identifier
1891137303
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003009 Issued in CO
Practice address
10099 Ridgegate Pkwy
Lone Tree, CO 80124-5531
Phone
(720) 689-6370
NPI assigned
Jul 25, 2013
Last updated
Jul 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003009 CO Primary

Addresses

Primary practice location

10099 Ridgegate Pkwy
Lone Tree, CO 80124-5531

Mailing address

10099 Ridgegate Pkwy
Lone Tree, CO 80124-5531
Phone (720) 689-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20131031001398 CO Practitioner - Optometry 4183859002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Eye Physicians PC CurrentSince Jan 23, 2023 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist PastSince Nov 8, 2020 Accepting new patients

Locations

205 S Main St
Ste D
Longmont, CO 80501
Phone (303) 772-3611

Interoperability endpoints

  • Direct secure messaging: knervick@directaddress.net
  • Direct secure messaging: knervickod@frontrangeeye.direct.eyemdemr.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, 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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1891137303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245531",
            "telephone_number": "720-689-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245531",
            "telephone_number": "720-689-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERVICK",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.