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DR. NICOLE N SHEFFER OD
NPI 1366000879
Optometrist - Pediatrics in Maple Grove, MN

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment
79.8/100
CMS Quality Rating
12000 ELM CREEK BLVD N STE 100, MAPLE GROVE, MN 55369(763) 416-7600(763) 416-7634 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2020, Jul 10, 2019, May 30, 2019 (3 updates tracked since 2019).

About Dr. Nicole N Sheffer Od NPPES

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

DR. NICOLE N SHEFFER OD (NPI 1366000879) is an individual pediatrics provider in Maple Grove, Minnesota, licensed in Minnesota (3634) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2019).

NPPES Registry Identity

NPI1366000879
Entity TypeIndividualFemale
Primary Taxonomy152WP0200X
Provider Legal NameDR. NICOLE N SHEFFERCredential: OD
Location Address12000 ELM CREEK BLVD N STE 100Maple Grove, MN 55369-7074
Mailing Address8401 Golden Valley Rd Ste 330Golden Valley, MN 55427-4488 · (763) 416-7629 · Fax (763) 383-4147
Phone(763) 416-7600
Fax(763) 416-7634
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2019
Enumeration DateMay 30, 2019
Last NPPES UpdateMarch 18, 20203 updates tracked since enumeration
NPPES CertifiedMarch 18, 2020
✔ NPI 1366000879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License✔ Licensed in MN · 3634
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
12000 ELM CREEK BLVD N STE 100, Maple Grove, MN 55369
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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

Dr. Nicole N Sheffer 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 ID6608101241
PECOS Enrollment IDI20190718001174
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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services76 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.
72 services71 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
28 services27 patients
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.
27 services27 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
19 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.37
Promoting Interoperability87
Improvement Activities40
Cost48.14

Other Providers at the Same Location NPPES 8

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

DISTINCTIVE EYEWEAR, LLC
Eyewear Supplier
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7653
DR. GERALD P LOUSHIN MD
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
DR. JANICE M SINCLAIR MD
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
NORTHWEST EYE CLINIC, LLC
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
ALEJANDRA DECANINI MANCERA M.D.
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
DR. MRUNALINI D PARVATANENI MD
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
DR. MATTHEW R RAMSEY M.D.
Ophthalmology
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600
DR. BRIAN J HAMANN OD
Optometrist
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369
Hennepin County (763) 416-7600

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 Nicole Sheffer's NPI number?

The NPI number for Nicole Sheffer is 1366000879. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Nicole Sheffer located?

Nicole Sheffer practices at 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN 55369. The listed phone number is (763) 416-7600.

What is Nicole Sheffer's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Nicole Sheffer enrolled in Medicare?

Yes. Nicole Sheffer 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.

What insurance does Nicole Sheffer accept?

Health plans from HealthPartners and Medica list Nicole Sheffer 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 Nicole Sheffer was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.