ANNA NICOLE KNEIERT (OD) – Optometrist, NPI 1598445850

ANNA NICOLE KNEIERT (OD) is a healthcare provider. based in Janesville, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3922-35 (WI). The NPI Number for ANNA NICOLE KNEIERT (OD) is 1598445850

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ANNA NICOLE KNEIERT (OD)
NPI
1598445850
Phone
(608) 751-5038
Address
3616 COVENTRY DR
Enumeration Date
21 July 2023
Last Update Date
21 July 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
7154235353
Graduation Year
2023 (3 years ago)
PAC ID
3173987823
Group Practice PAC ID
0749549855
Professional Enrollment ID
I20230913002121
Address ID
WI544946566WI3341XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

798 OPTOMETRY in WI

Provider Addresses for ANNA NICOLE KNEIERT (OD)

  • 3616 COVENTRY DR

    JANESVILLE, WI 535469665

    Phone: (608) 751-5038

    Type: Mailing

  • 3341 8TH ST S

    WISCONSIN RAPIDS, WI 544946566

    Phone: (715) 423-5353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-09-13

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
I20230913002121IOptometryWITBD

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 minutes2114$0
92004New patient complete exam of visual system1919$0
92014Established patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 53546)

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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: 0749549855View full group profile
NameSpecialtyState
O P T O M E T R YIL
-WI
O P T O M E T R YWI

Reviews

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Frequently asked questions

Does ANNA NICOLE KNEIERT (OD) have a public NPI I can cite?
Public records show ANNA NICOLE KNEIERT (OD) under NPI 1598445850.
Is ANNA NICOLE KNEIERT (OD)'s NPI status active today?
Active status means ANNA NICOLE KNEIERT (OD)'s NPI record is not deactivated in the public file.
What type of care does ANNA NICOLE KNEIERT (OD) provide?
ANNA NICOLE KNEIERT (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is ANNA NICOLE KNEIERT (OD) tied to Janesville, Wisconsin?
If you are local to Janesville, Wisconsin, ANNA NICOLE KNEIERT (OD) may be relevant to your search.
Who maintains ANNA NICOLE KNEIERT (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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