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SHANNON KOENDERS VELDKAMP OD
NPI 1902391626
Optometrist - Vision Therapy in Coon Rapids, MN

Active since June 25, 2018PECOS Enrolled
12771 RIVERDALE BLVD NW, COON RAPIDS, MN 55448(763) 421-1220(763) 421-1291 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2023, Jun 25, 2018 (2 updates tracked since 2018).

About Shannon Koenders Veldkamp Od NPPES

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

SHANNON KOENDERS VELDKAMP OD (NPI 1902391626) is an individual vision therapy provider in Coon Rapids, Minnesota, licensed in Minnesota (3577) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Cloud.

NPPES Registry Identity

NPI1902391626
Entity TypeIndividualFemale
Primary Taxonomy152WV0400X
Provider Legal NameSHANNON KOENDERS VELDKAMPCredential: OD
Location Address12771 RIVERDALE BLVD NWCoon Rapids, MN 55448-1262
Mailing Address19879 Naples St NwElk River, MN 55330-8859 · (605) 941-9628
Phone(763) 421-1220
Fax(763) 421-1291
Sole ProprietorYes
Enumeration DateJune 25, 2018
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1902391626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in MN · 3577
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
12771 RIVERDALE BLVD NW, Coon Rapids, MN 55448
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Secondary Practice Location 1

Location 13636 2nd St SSt Cloud, MN 56301-3732 · Phone (320) 316-9880 · Fax (320) 316-9881

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Koenders Veldkamp Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55448 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.

Other Providers at the Same Location NPPES 2

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

JD EYES, INC
Optometrist
12771 RIVERDALE BLVD NW, SUITE 103
COON RAPIDS, MN 55448
Anoka County (763) 421-1220
DR. KARA DURICK JOHNSON OD
Optometrist
12771 RIVERDALE BLVD NW, SUITE 103
COON RAPIDS, MN 55448
Anoka County (763) 421-1220

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 Shannon Veldkamp's NPI number?

The NPI number for Shannon Veldkamp is 1902391626. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Shannon Veldkamp located?

Shannon Veldkamp practices at 12771 Riverdale Blvd NW, Coon Rapids, MN 55448. The listed phone number is (763) 421-1220.

What is Shannon Veldkamp's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Shannon Veldkamp enrolled in Medicare?

Yes. Shannon Veldkamp is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Veldkamp accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HealthPartners and 2 other insurers list Shannon Veldkamp 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 Shannon Veldkamp was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.