Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MAKENNA ALEXANDRA HARTZELL OD
NPI 1073389557
Optometrist in Roseville, CA

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment
1386 LEAD HILL BLVD STE 140, ROSEVILLE, CA 95661(916) 318-7821(916) 723-4449 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Makenna Alexandra Hartzell Od NPPES

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

MAKENNA ALEXANDRA HARTZELL OD (NPI 1073389557) is an individual optometrist in Roseville, California, licensed in California (OPT35598) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2022).

NPPES Registry Identity

NPI1073389557
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMAKENNA ALEXANDRA HARTZELLCredential: OD
Location Address1386 LEAD HILL BLVD STE 140Roseville, CA 95661-2936
Mailing Address1386 Lead Hill Blvd Ste 140Roseville, CA 95661-2936 · (916) 318-7821 · Fax (916) 723-4449
Fax(916) 723-4449
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2022
Enumeration DateNovember 27, 2023
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1073389557 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 CA · OPT35598
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.

1386 LEAD HILL BLVD STE 140, Roseville, CA 95661

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

Makenna Alexandra Hartzell 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 ID7315384500
PECOS Enrollment IDI20240918004400
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
30 services30 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
15 services15 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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

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

Ophthalmology
1386 LEAD HILL BLVD STE 140
ROSEVILLE, CA 95661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073389557, enumerated as an "individual" on November 27, 2023.

The provider is located at 1386 LEAD HILL BLVD STE 140 ROSEVILLE, CA 95661 and the phone number is (916) 318-7821.

Optometrist with taxonomy code 152W00000X.