Nicole Suzanne Wellensiek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CO2447 Issued in CO

Practice address

1861 Wadsworth Blvd
Lakewood, CO 80214-5225

Phone

(303) 237-5401

Fax

(303) 237-9638

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicole Suzanne Robins Former name

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellensiek Eye Care, LLC 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellensiek Eye Care, LLC

  • Optometrist
  • Lakewood, CO
  • NPI 1699077446

  CO, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Evergreen Vision Clinic, PC

  • Eyewear Supplier
  • Evergreen, CO
  • NPI 1487741542

  CO

  Medicare reassignment NPD
• Eye Center of Northern Colorado, P.C.

  • Ophthalmology Physician
  • Fort Collins, CO
  • NPI 1073559605
  NPD (past)
• Professional Eyecare Gateway Inc.

  • Optometrist
  • Lincoln, NE
  • NPI 1235354820
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1912109331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145225",
            "telephone_number": "303-237-5401",
            "fax_number": "303-237-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145225",
            "telephone_number": "303-237-5401",
            "fax_number": "303-237-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLENSIEK",
        "first_name": "NICOLE",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO2447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ROBINS",
            "middle_name": "SUZANNE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi Marie Welch, MSN, RN
• Julia Weldon, LMT
• Well-Being Concepts LLC
• Leanne Beth Wellbrock, CPNP
• Wellensiek Eye Care, LLC
• Wellness Psychiatry, PLLC
• Wellnexx Health LLC
• Christopher Eugene Wells, LMFT, CAC II
• Daniel Michael Wells, MD
• Merrilla McCammack Wells, RN

• All providers in Lakewood, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.