Kelci Marie Glover, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2118 Issued in KS

Practice address

222 W 6TH St
Concordia, KS 66901-2817

Phone

(785) 243-3386

Fax

(785) 243-4640

NPI assigned

Apr 16, 2020

Last updated

Jul 14, 2020By the provider in NPPES

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 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

Southern College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard J. Kueker OD PAGroup PAC ID 4981750148, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard J. Kueker, O.D., PA

  • Optometrist
  • Concordia, KS
  • NPI 1902037625
  Medicare reassignment Care Compare group NPD
• Kansal Eye Physicians and Surgeons Chartered

  • Specialist
  • Salina, KS
  • NPI 1124136106
  NPD

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1285253583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669012817",
            "telephone_number": "785-243-3386",
            "fax_number": "785-243-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669012817",
            "telephone_number": "785-243-3386",
            "fax_number": "785-243-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "KELCI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Funk Medical & Mobility, Inc
• Daniel J Garlow, M.D.
• Colby Nicholas Jack Garrison
• Mandy M Gerstner, LMSW
• Melissa Gilsdorf, PA-C
• Lauri Ann Goheen, LMSW
• Edie Diane Grizzle, LPC, LMAC
• Sara M Hake, PMHNP
• Albert H Hartman, OTR
• Gregory Lynn Hattan, D.D.S.

• Optometrist in Concordia, KS
• Providers in Concordia, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.