HEIDI NICOLE ENSLEY (O.D.) – Optometrist, NPI 1225385644

HEIDI NICOLE ENSLEY (O.D.) is a healthcare provider. based in Arkansas city, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1916 (KS). The NPI Number for HEIDI NICOLE ENSLEY (O.D.) is 1225385644

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI NICOLE ENSLEY (O.D.)
NPI
1225385644
Phone
(620) 442-2577
Address
2508 EDGEMONT DR
Enumeration Date
6 August 2012
Last Update Date
6 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6204422577
Graduation Year
2012 (14 years ago)
PAC ID
1355591355
Group Practice PAC ID
6901883313
Professional Enrollment ID
I20121029000716
Address ID
KS670053844AR2508XDRXX307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for HEIDI NICOLE ENSLEY (O.D.)

  • 2508 EDGEMONT DR

    STE 6

    ARKANSAS CITY, KS 670053854

    Phone: (620) 442-2577

    Fax: (620) 442-2578

    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 6 Open Payments records for all available years, with a total value of $324.

Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Genentech USA, Inc. ($129).

Total Amount

$324

General + Research + Ownership

Payments

6

Total payment records

General Amount

$324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2012-10-29

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
I20121029000716IOptometryKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes213141$0
99214Established patient office or other outpatient visit, 30-39 minutes189183$0
92134Imaging of retina9277$0
92133Imaging of optic nerve4642$0
92083Exam of visual field with extended testing3933$0
View full utilization report →

Insurance plans in this area (ZIP 67005)

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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: 6901883313View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS

Reviews

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Frequently asked questions

What NPI should I save for HEIDI NICOLE ENSLEY (O.D.)?
Save NPI 1225385644 if you need a stable reference for HEIDI NICOLE ENSLEY (O.D.).
Is HEIDI NICOLE ENSLEY (O.D.) active in the national directory?
HEIDI NICOLE ENSLEY (O.D.)'s public NPI profile is in an active state.
Does HEIDI NICOLE ENSLEY (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for HEIDI NICOLE ENSLEY (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for HEIDI NICOLE ENSLEY (O.D.)?
The page summarizes Arkansas City, Kansas for HEIDI NICOLE ENSLEY (O.D.); expand the address list for detail.
Is HEIDI NICOLE ENSLEY (O.D.) a real provider?
This page reflects official NPPES data for NPI 1225385644. Always confirm identity and privileges with the practice and licensing boards.

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