Kelsey Kennedy Newcome, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2150DT Issued in KY

Practice address

1483 S Dixie St
Horse Cave, KY 42749-1457

Phone

(270) 786-2082

Fax

(270) 786-1215

NPI assigned

Jul 1, 2019

Sex

Female

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 KY

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

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breiwa, Ware and Jeskie PSC 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Breiwa Ware & Jeskie PSC

  • Optometrist
  • Bowling Green, KY
  • NPI 1841331691

  KY, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1043872914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 S DIXIE ST",
            "city": "HORSE CAVE",
            "state": "KY",
            "postal_code": "427491457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 S DIXIE ST",
            "city": "HORSE CAVE",
            "state": "KY",
            "postal_code": "427491457",
            "telephone_number": "270-786-2082",
            "fax_number": "270-786-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOME",
        "first_name": "KELSEY",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2150DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Lee Neagle, R.PH.
• Ashley Neville, PT
• Leslie S Neville, D.M.D.
• Steven Pierce Neville, D.M.D.
• New Hart County Health Care Center, LLC
• Owensboro Health Medical Group Inc
• Robert Peavler
• Play Learn Grow Early Childhood Development Services
• Emily Poynter, PMHNP
• Rhonda Underwood DC PLLC

• All providers in Horse Cave, KY
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.