Individual provider Active NPI

Melissa Ramos Keusler, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1316913080
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14653 Issued in KS
Practice address
6110 W Kellogg Dr
Wichita, KS 67209-2361
Phone
(316) 260-8788
Fax
(316) 943-8787
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14653 KS Primary

Addresses

Primary practice location

6110 W Kellogg Dr
Wichita, KS 67209-2361

Mailing address

6110 W Kellogg Dr
Wichita, KS 67209-2361
Phone (316) 260-8788

Other identifiers 1

IdentifierTypeStateIssuer
1011220510CMedicaidKS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041115001223 KS Practitioner - Optometry 7517921059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6110 W Kellogg Dr
Stop 1
Wichita, KS 67209-2359
Phone (316) 260-8788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14653KSMDOptometrist
1465KSMDHearing Instrument Specialist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316913080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 W KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092361",
            "telephone_number": "316-260-8788",
            "fax_number": "316-943-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 W KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092361",
            "telephone_number": "316-260-8788",
            "fax_number": "316-943-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUSLER",
        "first_name": "MELISSA",
        "middle_name": "RAMOS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "14653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011220510C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.