Individual provider Active NPI

Nancy Lynn Kelso, O.D.

  • Optometrist
  • Jupiter, FL
National Provider Identifier
1356371934
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP3160 Issued in FL
Practice address
2205 W Indiantown Rd
Jupiter, FL 33458-3924
Phone
(561) 296-2020
Fax
(561) 407-6107
NPI assigned
Jul 3, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 OP3160 FL Primary

Addresses

Primary practice location

2205 W Indiantown Rd
Jupiter, FL 33458-3924

Mailing address

2205 W Indiantown Rd
Jupiter, FL 33458-3924
Phone (561) 743-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080825000321 FL Practitioner - Optometry 9335214493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2205 W Indiantown Rd
Jupiter, FL 33458-3924
Phone (561) 743-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP3160FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Kelso & Kelso OD PA Optometrist CurrentSince Nov 21, 2013 Accepting new patients
Continua Home Health, LLC PastSince Jun 20, 2008 Accepting new patients

Locations

2205 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 743-2020

Organizations & group practices 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1356371934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583924",
            "telephone_number": "561-743-2020",
            "fax_number": "561-407-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583924",
            "telephone_number": "561-296-2020",
            "fax_number": "561-407-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP3160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.