Individual provider Active NPI

Elyse E Bower, OD

  • Optometrist
  • Kearney, NE
National Provider Identifier
1508478892
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1517 Issued in NE
Practice address
411 W 39TH St
Kearney, NE 68845-2805
Phone
(308) 865-2760
Fax
(308) 865-2769
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1517 NE Primary

Addresses

Primary practice location

411 W 39TH St
Kearney, NE 68845-2805

Mailing address

411 W 39TH St
Kearney, NE 68845-2805
Phone (308) 865-2760

Other names 1

  • Elyse E Kohl Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekohl@keimedinformatixdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200828002788 NE Practitioner - Optometry 6002233525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearney Eye Institute PCGroup PAC ID 7315935186, 7 clinicians

Practice addresses (Care Compare)

411 W 39TH St
Kearney, NE 68845-2805
Phone 30886527601004

Merit-based Incentive Payment System (MIPS)

Final score
76.89 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
44.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1517NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kearney Eye Institute, P.C. CurrentSince Aug 18, 2020 Accepting new patients
Kearney Eye Institute, P.C. Optometrist CurrentSince Aug 18, 2020 Accepting new patients

Locations

411 W 39th St
Kearney, NE 68845
Phone (308) 865-2755

Organizations & group practices 2

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1508478892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452805",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452805",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "ELYSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekohl@keimedinformatixdirect.com",
            "affiliation": "N",
            "endpointDescription": "fax transmission",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information",
            "address_1": "411 W 39th St",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688452805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "KOHL",
            "middle_name": "E",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.