Individual provider Active NPI

Heidi Bauer Skelley, OD

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1972508067
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003855 Issued in MI
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

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9404091424MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000975 MI Practitioner - Optometry 8729102272 Reassigns benefits to 1 organization

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
Andersen Eye Associates, PLCGroup PAC ID 8921089871, 9 clinicians

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 100Reported as group
Quality
96.08
Improvement activities
40
Cost
76.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003855MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andersen Eye Associates, PLC CurrentSince Mar 29, 1999 Accepting new patients
Andersen Eye Associates, PLC Optometrist CurrentSince Mar 29, 1999 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: heidi.bauerskelley.p1@direct.aea.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.