RAEANN NORDWALL O.D.
NPI 1144650219
Optometrist in Duluth, MN

Q: What is Raeann Nordwall's NPI number?

The NPI number for Raeann Nordwall is 1144650219. It was assigned to this individual provider in the NPPES registry on November 26, 2013.

Q: What is Raeann Nordwall'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 Raeann Nordwall was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 November 26, 2013PECOS Enrolled

2522 MAPLE GROVE RD, DULUTH, MN 55811(218) 249-0685(218) 461-4885 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Jun 5, 2019 (2 updates tracked since 2019).

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About Raeann Nordwall O.d. NPPES

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

RAEANN NORDWALL O.D. (NPI 1144650219) is an individual optometrist in Duluth, Minnesota, licensed in Minnesota (3397) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1144650219

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameRAEANN NORDWALLCredential: O.D.

Location Address2522 MAPLE GROVE RDDuluth, MN 55811-1864

Mailing Address2522 Maple Grove RdDuluth, MN 55811-1864 · (218) 249-0685 · Fax (218) 461-4885

Phone(218) 249-0685

Fax(218) 461-4885

Sole ProprietorNo

Enumeration DateNovember 26, 2013

Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1144650219 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 MN · 3397

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.

2522 MAPLE GROVE RD, Duluth, MN 55811

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Secondary Practice Location 1

Location 1501 W Central EntranceDuluth, MN 55811-5447 · Phone (218) 464-1453

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raeann Nordwall O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55811 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

ZENITH VISION DEVELOPMENT CENTER PLLC

Optometrist

2522 MAPLE GROVE RD
DULUTH, MN 55811

St. Louis County (218) 249-0685

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 Raeann Nordwall's NPI number?

The NPI number for Raeann Nordwall is 1144650219. It was assigned to this individual provider in the NPPES registry on November 26, 2013.

Where is Raeann Nordwall located?

Raeann Nordwall practices at 2522 Maple Grove Rd, Duluth, MN 55811. The listed phone number is (218) 249-0685.

What is Raeann Nordwall's specialty?

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

Is Raeann Nordwall enrolled in Medicare?

Yes. Raeann Nordwall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raeann Nordwall was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.