DR. JOSEPHINE ROSEMARY AUSDEMORE OD
NPI 1104564269
Optometrist in Winona, MN
About Dr. Josephine Rosemary Ausdemore Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOSEPHINE ROSEMARY AUSDEMORE OD (NPI 1104564269) is an individual optometrist in Winona, Minnesota, licensed in Minnesota (3784) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Josephine Rosemary Ausdemore 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.
Medicare Billing Reassignments
2Medicare enrollment records show Josephine Ausdemore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winona, MN 55987
- Reassigned Medicare billing, Minnesota enrollment
- 37 clinicians in this Medicare group
Rochester, MN 55904
- Reassigned Medicare billing, Minnesota enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55987 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Josephine Ausdemore's NPI number?
The NPI number for Josephine Ausdemore is 1104564269. It was assigned to this individual provider in the NPPES registry on May 26, 2022.
Where is Josephine Ausdemore located?
Josephine Ausdemore practices at 1459 W Service Dr, Winona, MN 55987. The listed phone number is (507) 452-6175.
What is Josephine Ausdemore's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Josephine Ausdemore enrolled in Medicare?
Yes. Josephine Ausdemore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Josephine Ausdemore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Josephine Ausdemore reassigns Medicare benefits to 2 organizations: Shoptikal LLC (Winona, MN) and Bhend Family Eye Care, PLLC (Rochester, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Josephine Ausdemore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Josephine Ausdemore accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Josephine Ausdemore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Josephine Ausdemore was last updated on May 26, 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.
# Dr. Josephine Rosemary Ausdemore, OD · NPI 1104564269
Optometrist provider in Winona, Minnesota. Individual provider, active in the CMS NPPES registry since May 26, 2022.
## Identity
- **NPI:** 1104564269 (Entity type: Individual)
- **Enumerated:** May 26, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3784 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1459 W SERVICE DR, Winona, MN 55987-2512
- **Phone:** (507) 452-6175
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Shoptikal LLC (NPI 1730745100, Winona, MN); Bhend Family Eye Care, PLLC (NPI 1942731682, Rochester, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104564269) · Data from the CMS NPPES public registry.