Individual provider Active NPI

Kelsey Starman

  • Pediatric Optometrist
  • Warrensburg, MO
National Provider Identifier
1265997522
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
2023025934 Issued in MO
Practice address
601 E Russell Ave Ste a
Warrensburg, MO 64093-9601
Phone
(660) 250-2442
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 2023025934 MO Primary

Addresses

Primary practice location

601 E Russell Ave Ste a
Warrensburg, MO 64093-9601

Mailing address

601 E Russell Ave Ste a
Warrensburg, MO 64093-9601
Phone (660) 250-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20230822002606 MO Practitioner - Optometry 3072976166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 E Russell Ave
Suite a
Warrensburg, MO 64093-9601
Phone (660) 747-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023025934MOMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rapids Vision Therapy LLC Vision Therapy Past Accepting new patients
Eyecare Specialties of Missouri LLC Past Accepting new patients
World Wide Vision Therapy Centers, L.L.C. Vision Therapy Past Accepting new patients
Appelbaum Eyecare Associates Vision Therapy PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1265997522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E RUSSELL AVE STE A",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640939601",
            "telephone_number": "660-250-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E RUSSELL AVE STE A",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640939601",
            "telephone_number": "660-250-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARMAN",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "2023025934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.