DR. ASHLEY ANN BERENS (OD) – Optometrist, NPI 1417462698

DR. ASHLEY ANN BERENS (OD) is a healthcare provider. based in Anoka, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3575 (MN). The NPI Number for DR. ASHLEY ANN BERENS (OD) is 1417462698

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. ASHLEY ANN BERENS (OD)
NPI
1417462698
Phone
(605) 845-6321
Address
1044 MONROE CIR
Enumeration Date
9 December 2017
Last Update Date
3 August 2018

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7637577000
Graduation Year
2017 (9 years ago)
PAC ID
4486905247
Group Practice PAC ID
2264479575
Professional Enrollment ID
I20180918004162
Address ID
MN554494716BL12170NEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for DR. ASHLEY ANN BERENS (OD)

  • 1044, Monroe Circle, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 553033425

    Phone: (605) 845-6321

    Type: Mailing

  • 12170, Aberdeen Street Northeast, Johnsville, Blaine, Anoka County, Minnesota, 55449, United States

    BLAINE, MN 55449

    Phone: (763) 757-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $366.

Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Glaukos Corporation ($99).

Total Amount

$366

General + Research + Ownership

Payments

13

Total payment records

General Amount

$366

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-09-18

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
I20180918004162IOptometryMNTBD

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
92014Established patient complete exam of visual system101101$0
92133Imaging of optic nerve7266$0
92083Exam of visual field with extended testing6360$0
99213Established patient office or other outpatient visit, 20-29 minutes5643$0
99214Established patient office or other outpatient visit, 30-39 minutes5148$0
View full utilization report →

Insurance plans in this area (ZIP 55303)

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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: 2264479575View full group profile
NameSpecialtyState
O P T O M E T R YMN
-MN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ASHLEY ANN BERENS (OD)'s NPI?
Yes. DR. ASHLEY ANN BERENS (OD) is listed with NPI 1417462698 in the public NPI dataset.
Can I rely on DR. ASHLEY ANN BERENS (OD) being an active provider?
As of the registry snapshot, DR. ASHLEY ANN BERENS (OD) is marked active.
What is DR. ASHLEY ANN BERENS (OD)'s specialty?
The listing groups DR. ASHLEY ANN BERENS (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. ASHLEY ANN BERENS (OD) serve?
DR. ASHLEY ANN BERENS (OD)'s listing highlights Anoka, Minnesota; more addresses can appear in NPPES.
Why does DR. ASHLEY ANN BERENS (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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