Tessa W Pelster, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1484 Issued in NE

Practice address

214 N 10TH St
Oneill, NE 68763-1604

Phone

(402) 336-2505

Fax

(402) 336-3506

NPI assigned

Jun 4, 2018

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

Other names 1

• Tessa R Wellsandt Former name

Medicare fee-for-service enrollment

Enrolled in NE

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gutshall Kohle Pelster Eyecare LLCGroup PAC ID 9931209798, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.53 of 100Reported as group

Quality

93.06

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tessawellsandt@lifetimevision.eyefinity-direct.com

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.

• Gutshall Kohle Pelster Eyecare, LLC

  dba Gutshall Kohle Pelster Eyecare

  • Optometrist
  • O'Neill, NE
  • NPI 1497817241
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1356833438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687630378",
            "telephone_number": "402-336-2505",
            "fax_number": "402-336-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N 10TH ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631604",
            "telephone_number": "402-336-2505",
            "fax_number": "402-336-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELSTER",
        "first_name": "TESSA",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "WELLSANDT",
            "middle_name": "R",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Owens
• Heather A Pardun, APRN
• Audrea Lynn Parks
• Alana Sue Pearson, CTA
• Lisa Pearson
• Shawntelle D Peter
• Theresa A Petersen, APRN
• Pamela Peterson
• Paula Peterson
• Jenny Lynn Pfeifer

• Optometrist in O'Neill, NE
• Providers in O'Neill, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.