JENNA VERGELDT OD
NPI 1053943258
Optometrist in Oklahoma City, OK

Q: What is Jenna Vergeldt's NPI number?

The NPI number for Jenna Vergeldt is 1053943258. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Q: What is Jenna Vergeldt's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Vergeldt was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 06, 2020PECOS EnrolledAccepts Medicare Assignment

921 NE 13TH ST, OKLAHOMA CITY, OK 73104(405) 456-4017 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2022, Aug 12, 2021, Feb 6, 2020 (3 updates tracked since 2020).

On this page

About Jenna Vergeldt Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA VERGELDT OD (NPI 1053943258) is an individual optometrist in Oklahoma City, Oklahoma, licensed in Texas (10401T) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2021).

NPPES Registry Identity

NPI1053943258

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJENNA VERGELDTCredential: OD

Location Address921 NE 13TH STOklahoma City, OK 73104-5007

Mailing Address2034 Town Road 492International Falls, MN 56649-8707 · (218) 417-0739

Phone(405) 456-4017

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 2021

Enumeration DateFebruary 6, 2020

Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration

NPPES CertifiedJuly 28, 2022

✔ NPI 1053943258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 10401T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

921 NE 13TH ST, Oklahoma City, OK 73104

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenna Vergeldt Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890235725

PECOS Enrollment IDI20240906001160

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER KATHLEEN HINKLE MD

Radiology (Diagnostic Radiology)