DR. COLLEEN PATRICIA HENNELLY O.D.
NPI 1316159742
Optometrist in North Charleston, SC
About Dr. Colleen Patricia Hennelly O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. COLLEEN PATRICIA HENNELLY O.D. (NPI 1316159742) is an individual optometrist in North Charleston, South Carolina, licensed in South Carolina (1377) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2005).
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. Colleen Patricia Hennelly O.d. 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 Reassignment
Medicare enrollment records show Colleen Hennelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kenosha, WI 53142
- Reassigned Medicare billing, Wisconsin enrollment
- 187 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29406 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 Colleen Hennelly's NPI number?
The NPI number for Colleen Hennelly is 1316159742. It was assigned to this individual provider in the NPPES registry on May 6, 2007.
Where is Colleen Hennelly located?
Colleen Hennelly practices at 7631 Rivers Ave, North Charleston, SC 29406. The listed phone number is (773) 350-1085.
What is Colleen Hennelly's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Colleen Hennelly enrolled in Medicare?
Yes. Colleen Hennelly 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 organization bills Medicare for Colleen Hennelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Hennelly reassigns Medicare benefits to Shoptikal LLC (Kenosha, WI). The 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 Colleen Hennelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Colleen Hennelly accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Colleen Hennelly 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 Colleen Hennelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Colleen Patricia Hennelly, O.D. · NPI 1316159742
Optometrist provider in North Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since May 6, 2007.
## Identity
- **NPI:** 1316159742 (Entity type: Individual)
- **Enumerated:** May 6, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 1377 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7631 RIVERS AVE, North Charleston, SC 29406-4022
- **Phone:** (773) 350-1085
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Shoptikal LLC (NPI 1659005262, Kenosha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2005
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1316159742) · Data from the CMS NPPES public registry.