Nicholas James Kelsey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100146 Issued in ID

Practice address

731 N College Rd
Twin Falls, ID 83301-3382

Phone

(208) 734-3937

Fax

(208) 734-7585

NPI assigned

Jul 16, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nicholas J Kelsey

  • Optometrist
  • Buhl, ID
  • NPI 1700163839
  Medicare reassignment NPD Authorized official
• Cheaper Peepers LLC

  • Optometrist
  • Twin Falls, ID
  • NPI 1598863029
  NPD (past)
• Mountain West Optical Inc

  • Optometrist
  • Twin Falls, ID
  • NPI 1902810757
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1013116383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N COLLEGE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013382",
            "telephone_number": "208-734-3937",
            "fax_number": "208-734-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N COLLEGE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013382",
            "telephone_number": "208-734-3937",
            "fax_number": "208-734-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coreen Wistisen Keller, MPT
• Jamie M Kelley-Kinyon, LCSW
• Darren Kellogg, OTR/L
• Ezekiel Hans Kelsey, SLP
• Nathan Ross Kelsey, M.D.
• David L Kemp, M.D.
• Jackie L Kennedy, BACHELORS, LPN
• Kenneth C Romney MD Inc
• Gaige Kepner, DDS
• Melody Kerner, LMSW

• Optometrist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.