DR. MICHELLE ROSE WILLENBRING (O.D.) – Optometrist, NPI 1679517353

DR. MICHELLE ROSE WILLENBRING (O.D.) is a healthcare provider. based in Normal, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-009292 (IL). The NPI Number for DR. MICHELLE ROSE WILLENBRING (O.D.) is 1679517353

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE ROSE WILLENBRING (O.D.)
NPI
1679517353
Phone
(309) 454-1010
Address
407 KAYS DR
Enumeration Date
15 June 2006
Last Update Date
8 November 2010

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
3096627700
Graduation Year
2000 (26 years ago)
PAC ID
6507868478
Group Practice PAC ID
0749522092
Professional Enrollment ID
I20070206000087
Address ID
IL617042544BL1107XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. MICHELLE ROSE WILLENBRING (O.D.)

  • 407, North Kays Drive, Sud's Business Park, Normal, McLean County, Illinois, 61761, United States

    NORMAL, IL 617611958

    Phone: (309) 454-1010

    Fax: (309) 454-1077

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $821.

Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($180).

Total Amount

$821

General + Research + Ownership

Payments

42

Total payment records

General Amount

$821

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070206000087IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes196179$0
92250Photography of the retina123119$0
92134Imaging of retina9077$0
99213Established patient office or other outpatient visit, 20-29 minutes8772$0
83516Analysis of substance using immunoassay technique, multiple step method4619$0
View full utilization report →

Insurance plans in this area (ZIP 61761)

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Provider's Procedures

DR. MICHELLE ROSE WILLENBRING (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92134Diagnostic imaging of retina2622

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749522092View full group profile
NameSpecialtyState
-IL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is DR. MICHELLE ROSE WILLENBRING (O.D.)'s NPI number?
DR. MICHELLE ROSE WILLENBRING (O.D.)'s NPI is 1679517353 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MICHELLE ROSE WILLENBRING (O.D.)?
For scheduling context, DR. MICHELLE ROSE WILLENBRING (O.D.) is shown as active in the registry.
What kind of doctor is DR. MICHELLE ROSE WILLENBRING (O.D.)?
DR. MICHELLE ROSE WILLENBRING (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. MICHELLE ROSE WILLENBRING (O.D.) registered?
Use Normal, Illinois as the headline location for DR. MICHELLE ROSE WILLENBRING (O.D.) here.
When was this NPI issued?
Enumeration for DR. MICHELLE ROSE WILLENBRING (O.D.) is noted as June 15, 2006 where the registry provides it.

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