Kelsey Jordan Daberkow, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1654 Issued in NE

Practice address

2550 Superior St Ste 150
Lincoln, NE 68521-4156

Phone

(402) 435-1166

NPI assigned

Apr 29, 2024

Last updated

Jul 21, 2024By 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 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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nebraska Eye InstituteGroup PAC ID 1355402363, 2 clinicians

Heartland Eye Consultants LLCGroup PAC ID 3577566983, 5 clinicians

Practice addresses (Care Compare)

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.

• Heartland Eye Consultants LLC

  • Optometrist
  • Omaha, NE
  • NPI 1003821422
  Medicare reassignment Care Compare group NPD
• Nebraska Eye Institute

  • Optometrist
  • Lincoln, NE
  • NPI 1467665042
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1609622885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6556 S 32ND ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164680",
            "telephone_number": "402-525-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SUPERIOR ST STE 150",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214156",
            "telephone_number": "402-435-1166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 Nicholas St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681142261",
            "country_code": "US",
            "telephone_number": "402-493-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABERKOW",
        "first_name": "KELSEY",
        "middle_name": "JORDAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D.B.a Mom's Mastectomy
• Danielle D'Amore, DPT
• Maggie D'Aniello
• Samantha Daake
• Hailee Daarud
• Patricia Ann Daberkow, MS-CCC/SLP
• Sarah Dabney, LIMHP
• Rebecca L Dacus, LMHP, PC
• Elijah Dacy
• Charissa Dageford

• Optometrist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.