Kasie Jean Mix, O.D., M.S.
NPI 1407109275ActiveIndividual· Optometrist· Shakopee, MN
Optometrist (O.D., M.S.) in Shakopee, Minnesota, trained at Pacific University - College of Optometry (class of 2015). In 2024 Medicare paid $16,081 for 180 patients, and Part D covered 199 of their prescriptions, 71% of them generic.
Overview
| NPI | 1407109275 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D., M.S. |
| Sole proprietor | Yes |
| NPI issued | Oct 18, 2012 |
| Last updated in NPPES | Jul 18, 2023 |
| Certified by provider | Jul 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3429 | MN |
| Optometrist, Corneal and Contact Management | 152WC0802X | 3429 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 180 |
|---|---|
| Services billed | 251 across 8 procedure codes |
| Paid by Medicare | $16,081 |
Part D prescriptions in 2024
| Prescriptions (claims) | 199 · 287 30-day fills |
|---|---|
| Patients | 76 |
| Total drug cost | $18,427 |
| Generic share | 71% of claims |
Education and affiliations
| Medical school | Pacific University - College of Optometry |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Optometry |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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