KRISTEN MARIE SEMENICK OD
NPI 1700851383
Optometrist in Dover, DE
About Kristen Marie Semenick Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN MARIE SEMENICK OD (NPI 1700851383) is an individual optometrist in Dover, Delaware, licensed in Delaware (130001300) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted 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
Kristen Marie Semenick 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.
Areas of Expertise CMS Part B claims 13
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 19904 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.
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 Kristen Semenick's NPI number?
The NPI number for Kristen Semenick is 1700851383. It was assigned to this individual provider in the NPPES registry on February 17, 2006.
Where is Kristen Semenick located?
Kristen Semenick practices at 833 South Governors Av, Dover, DE 19904. The listed phone number is (302) 674-1121.
What is Kristen Semenick's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kristen Semenick enrolled in Medicare?
Yes. Kristen Semenick 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 Kristen Semenick accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 7 other insurers list Kristen Semenick 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 Kristen Semenick was last updated on July 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
