Kelsey Danielle Elliott, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2186 Issued in KS

Practice address

713 McKinley St
Great Bend, KS 67530-4707

Phone

(620) 792-3535

Fax

(800) 466-7923

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kelsey Danielle Nash Other name

Medicare fee-for-service enrollment

Enrolled in KS

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

University Alabama Birmingham - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Douglas D. Ayre, Optometrist, PAGroup PAC ID 6901868876, 2 clinicians

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.

• Dr. Douglas D. Ayre, Optometrist, PA

  dba Eyecare of Great Bend

  • Optometrist
  • Great Bend, KS
  • NPI 1184728776
  Medicare reassignment Care Compare group NPD
• Dr. Douglas D. Ayre Optometrist P a

  dba Larned Eye Health

  • Optometrist
  • Larned, KS
  • NPI 1710098892
  NPD

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1114585122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 MANN AVE",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675502909",
            "telephone_number": "620-285-2105",
            "fax_number": "620-285-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MCKINLEY ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304707",
            "telephone_number": "620-792-3535",
            "fax_number": "800-466-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Mann Ave",
            "address_purpose": "LOCATION",
            "city": "Larned",
            "state": "KS",
            "postal_code": "675502909",
            "country_code": "US",
            "telephone_number": "620-285-2105",
            "fax_number": "620-285-7236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KELSEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "NASH",
            "middle_name": "DANIELLE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Lynn Eastland, DPT
• Marta J Edmonds, M.D.
• Allison Edwards, APRN
• Elder Living LLC (Aster Estates)
• Eldercare Inc
• Taylor Ellis
• Emergency Specialty Services Affiliates, LLC
• Diane Erb, PTA
• Evergreen Therapy Services-LLC
• Melissa Leigh Ewing, LCMFT

• Optometrist in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.