MRS. MONICA ANNE FENTON O.D.
NPI 1427052919
Optometrist in Grand Rapids, MI
About Mrs. Monica Anne Fenton O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MONICA ANNE FENTON O.D. (NPI 1427052919) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004006) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Mrs. Monica Anne Fenton 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 Monica Fenton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Blue Sky Vision Eye Care PC
- 30 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 4
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 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
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 Monica Fenton's NPI number?
The NPI number for Monica Fenton is 1427052919. It was assigned to this individual provider in the NPPES registry on June 13, 2005.
Where is Monica Fenton located?
Monica Fenton practices at 750 E Beltline Ave NE Ste 202, Grand Rapids, MI 49525. The listed phone number is (616) 949-2600.
What is Monica Fenton's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Monica Fenton enrolled in Medicare?
Yes. Monica Fenton 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 Monica Fenton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monica Fenton reassigns Medicare benefits to Blue Sky Vision Eye Care, P.C (Grand Rapids, MI). 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 Monica Fenton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monica Fenton accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 14 other insurers list Monica Fenton 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 Monica Fenton was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mrs. Monica Anne Fenton, O.D. · NPI 1427052919
Optometrist provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 13, 2005.
## Identity
- **NPI:** 1427052919 (Entity type: Individual)
- **Enumerated:** June 13, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901004006 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 E BELTLINE AVE NE, STE 202, Grand Rapids, MI 49525-6049
- **Phone:** (616) 949-2600 · **Fax:** (616) 365-2076
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Blue Sky Vision Eye Care, P.C (NPI 1801977202, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** June 9, 2008
- **Other identifiers:** Other 410044559 (MI); Other 900G06541 (MI); Medicare UPIN U78253; and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1427052919) · Data from the CMS NPPES public registry.