Kassidy Nelson, OD
Individual provider Active NPI Optometrist · Manhattan, KS
NPI 1023670932 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1023670932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2104 (KS)
- Practice address
- 1331 Laramie St Ste 120
Manhattan, KS 66502-4022 - Phone
- (785) 377-0077
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Ryan J Kueker OD PA
Practice addresses (Care Compare)
1331 Laramie St
Suite 120
Manhattan, KS 66502-4022
Phone (785) 377-0077
310 Leonard St
Onaga, KS 66521-9484
Phone (785) 889-4387
520 Main St
Seneca, KS 66538-1928
Phone (785) 456-2236
631 Lincoln Ave
Wamego, KS 66547-1635
Phone (785) 456-2235
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 22 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190717002588 | KS | Practitioner - Optometry | 4981939642 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kassidy Nelson OD LLC | Optometrist | Current |
Accepting new patients |
| Dr. Verne E Claussen Jr PA | Optometrist | Past |
Accepting new patients |
Locations
1331 Laramie St
Ste 120
Manhattan, KS 66502
Phone (785) 377-0077
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2104 | KS | Yes |
Addresses
Primary practice location
1331 Laramie St Ste 120
Manhattan, KS 66502-4022
Mailing address
3304 Ashwood Cir
Manhattan, KS 66502-2074
Phone (785) 456-5011
Other practice location 1
631 Lincoln Ave
Wamego, KS 66547-1635
Phone (785) 456-2236
Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.