ANNE POULSEN (M.D.) – Ophthalmology Physician, NPI 1073977492

ANNE POULSEN (M.D.) is a healthcare provider. based in Newport news, Virginia. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. 69784 (MN). The NPI Number for ANNE POULSEN (M.D.) is 1073977492

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ANNE POULSEN (M.D.)
NPI
1073977492
Phone
Not provided
Address
500 J CLYDE MORRIS BLVD FL 2
Enumeration Date
12 April 2016
Last Update Date
5 November 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
3577829100
Group Practice PAC ID
0648181156
Professional Enrollment ID
I20200819003080
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for ANNE POULSEN (M.D.)

  • J Clyde Morris Boulevard, Bayberry, Newport News, Newport News City, Virginia, 23601, United States

    NEWPORT NEWS, VA 236011929

    Phone:

    Type: Mailing

  • 2080 WOODWINDS DR STE 230

    WOODBURY, MN 551252539

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Glaukos Corporation ($130).

Total Amount

$130

General + Research + Ownership

Payments

1

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Glaukos Corporation$130
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: 2021-11-18

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
I20211118000046IOphthalmologyMNTBD

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 minutes257165$0
99214Established patient office or other outpatient visit, 30-39 minutes190123$0
92014Established patient complete exam of visual system170167$0
92133Imaging of optic nerve152131$0
92083Exam of visual field with extended testing136117$0
View full utilization report →

Insurance plans in this area (ZIP 23601)

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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: 0648181156View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
Clinical PsychologistVA
A L L E R G Y/ I M M U N O L O G YNC
-NC
Nurse PractitionerNC
U R O L O G YNH
A N E S T H E S I O L O G YUT
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineND
-NC
Clinical PsychologistNC

Reviews

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Frequently asked questions

What is the registry number for ANNE POULSEN (M.D.)?
The registry entry for ANNE POULSEN (M.D.) shows NPI 1073977492.
Is ANNE POULSEN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists ANNE POULSEN (M.D.) as active.
How should patients interpret ANNE POULSEN (M.D.)'s specialty?
The extract shows Ophthalmology Physician for ANNE POULSEN (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit ANNE POULSEN (M.D.) in Newport News, Virginia?
For routing, start with Newport News, Virginia for ANNE POULSEN (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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