Active NPI
Heidi Bauer Skelley, OD
- Optometrist
- Saginaw, MI
National Provider Identifier
1972508067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 003855
- Practice address
- 5161 Cardinal Park Drive
Saginaw, MI 48604-9435 - Phone
- (989) 797-2400
- Fax
- (989) 249-1035
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 003855 | MI | Primary |
Addresses
Primary practice location
5161 Cardinal Park Drive
Saginaw, MI 48604-9435
Mailing address
PO Box 5649
Saginaw, MI 48603-0649
Phone (989) 797-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9404091424 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heidi.bauerskelley.pl@direct.aea.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Marquette St
Suite 1
Bay City, MI 48706-4196
Phone (989) 671-2550
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.43 of 100
- Quality
- 96.08
- Improvement activities
- 40
- Cost
- 76.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003855 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andersen Eye Associates, PLC | Current | Accepting new patients | |
| Andersen Eye Associates, PLC | Optometrist | Current | Accepting new patients |
Locations
1601 Marquette St
Bay City, MI 48706
Phone (989) 249-8853
1601 Marquette St
Ste 1
Bay City, MI 48706
Phone (989) 671-2550
5161 Cardinal Park Dr
Saginaw, MI 48604
Phone (989) 249-6270
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- heidi.bauerskelley.p1@direct.aea.nextgenshare.com
- heidi.bauerskelley.pl@direct.aea.nextgenshare.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 and National Provider Directory roles.
-
- Eyewear Supplier
- Saginaw, MI
- NPI 1124106489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1972508067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5649",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486030649",
"telephone_number": "989-797-2400",
"fax_number": "989-249-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5161 CARDINAL PARK DRIVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486049435",
"telephone_number": "989-797-2400",
"fax_number": "989-249-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER SKELLEY",
"first_name": "HEIDI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "003855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9404091424",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heidi.bauerskelley.pl@direct.aea.nextgenshare.com",
"affiliation": "N",
"address_1": "5161 Cardinal Park Drive",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486049435",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.