DR. LAURA JEAN I NENNIG (O.D.) – Optometrist, NPI 1053674804

DR. LAURA JEAN I NENNIG (O.D.) is a healthcare provider. based in Lees summit, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2012017385 (MO). The NPI Number for DR. LAURA JEAN I NENNIG (O.D.) is 1053674804

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA JEAN I NENNIG (O.D.)
NPI
1053674804
Phone
(816) 524-8900
Address
221 NW MCNARY CT
Enumeration Date
18 June 2012
Last Update Date
12 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165248900
Graduation Year
2012 (14 years ago)
PAC ID
4880845593
Group Practice PAC ID
8729018668
Professional Enrollment ID
I20130507000541
Address ID
MO640864011LE221XXCTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for DR. LAURA JEAN I NENNIG (O.D.)

  • 221 NW MCNARY CT

    LEES SUMMIT, MO 640864011

    Phone: (816) 524-8900

    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 12 Open Payments records for all available years, with a total value of $1,981.

Total Amount is formed as General ($1,981) + Research ($0) + Ownership ($0) = $1,981.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Alcon Vision LLC ($1,593).

Total Amount

$1,981

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,981

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

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: 2013-05-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130507000541IOptometryMOTBD

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 minutes15197$0
99213Established patient office or other outpatient visit, 20-29 minutes5037$0
92250Photography of the retina4847$0
92134Imaging of retina3129$0
92285Photography of content of eyes1513$0
View full utilization report →

Insurance plans in this area (ZIP 64086)

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Provider's Procedures

DR. LAURA JEAN I NENNIG (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92012Eye and medical examination for diagnosis and treatment, established patient3024

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: 8729018668View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
-MO
O P T O M E T R YKS
O P T O M E T R YIL

Reviews

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Frequently asked questions

What federal number belongs to DR. LAURA JEAN I NENNIG (O.D.)?
The federal identifier for DR. LAURA JEAN I NENNIG (O.D.) is NPI 1053674804.
Does this profile mean DR. LAURA JEAN I NENNIG (O.D.) is currently active?
Yes — DR. LAURA JEAN I NENNIG (O.D.) appears active in the national provider directory.
What field does DR. LAURA JEAN I NENNIG (O.D.) work in?
You can think of DR. LAURA JEAN I NENNIG (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. LAURA JEAN I NENNIG (O.D.)'s primary listing?
We display Lees Summit, Missouri because that is what the record indicates for DR. LAURA JEAN I NENNIG (O.D.).
Is DR. LAURA JEAN I NENNIG (O.D.) a real provider?
This page reflects official NPPES data for NPI 1053674804. Always confirm identity and privileges with the practice and licensing boards.

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