Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER MARIE FAUTH OD
NPI 1811845696
Optometrist in Mission, KS

Q: What is Jennifer Fauth's NPI number?

The NPI number for Jennifer Fauth is 1811845696. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Q: What is Jennifer Fauth'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 Jennifer Fauth was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 March 18, 2026PECOS Enrolled

6100 BROADMOOR ST, MISSION, KS 66202(913) 553-6330 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2026, Apr 15, 2026, Mar 18, 2026 (3 updates tracked since 2026).

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About Jennifer Marie Fauth Od NPPES

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

JENNIFER MARIE FAUTH OD (NPI 1811845696) is an individual optometrist in Mission, Kansas, licensed in Kansas (2270) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1811845696

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJENNIFER MARIE FAUTHCredential: OD

Location Address6100 BROADMOOR STMission, KS 66202-3229

Mailing Address6100 Broadmoor StMission, KS 66202-3229 · (913) 553-6330

Phone(913) 553-6330

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 18, 2026

Last NPPES UpdateAugust 20, 20263 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1811845696 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 KS · 2270

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.

6100 BROADMOOR ST, Mission, KS 66202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Marie Fauth Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547736027

PECOS Enrollment IDI20260421004074

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 66202 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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 8

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

GREGORY SCHMACK

Pharmacist