DR. NATALIE GRACE NIBERT (OD) – Optometrist, NPI 1386313088
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
Provider Addresses for DR. NATALIE GRACE NIBERT (OD)
15704 90th St NE Unit 100
Otsego, MN 553307448
Phone: (763) 241-1090
Type: Location
111 KELLOGG BLVD E APT 815
SAINT PAUL, MN 551011207
Phone: (316) 573-3801
Type: Mailing
13889 RIDGEDALE DR
MINNETONKA, MN 553051768
Phone: (763) 241-1090
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $287.
Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($136).
Total Amount
$287
General + Research + Ownership
Payments
5
Total payment records
General Amount
$287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $136 |
| BIOTISSUE HOLDINGS INC. | $132 |
| ABBVIE INC. | $19 |
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: 2022-09-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220907002113 | I | Optometry | KS | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55330)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | KS | |
| O P T O M E T R Y | NE | |
| O P T O M E T R Y | KS | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | KS |
Reviews
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