Kelsey B Koerner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3408-35 Issued in WI

Practice address

205 W Bridge St Ste 101
Wausau, WI 54401-3000

Phone

(715) 848-2020

Fax

(715) 845-6669

NPI assigned

Jun 1, 2016

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

• Kelsey B Nuernberger Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Indiana University - School of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Center of Wausau LLCGroup PAC ID 5890993117, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Eyecare Center of Wausau LLC

  • Optometrist
  • Wausau, WI
  • NPI 1770722993
  Medicare reassignment Care Compare group NPD
• Gregory Lee Leischer, O.D.

  • Optometrist
  • Wausau, WI
  • NPI 1285770065
  Medicare reassignment
• Eye Wear Designs of Marshfield LLC

  • Optometrist
  • Marshfield, WI
  • NPI 1033239801
  NPD (past)
• Nikolay Chiropractic LLC

  • Chiropractor
  • Marshfield, WI
  • NPI 1790564508
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1659729580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 EVA RD APT 46",
            "city": "KRONENWETTER",
            "state": "WI",
            "postal_code": "544557114",
            "telephone_number": "715-965-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BRIDGE ST STE 101",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013000",
            "telephone_number": "715-848-2020",
            "fax_number": "715-845-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "KELSEY",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3408-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "NUERNBERGER",
            "middle_name": "B",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aaron Koeller, SAC-IT
• Bradley Neil Koenig, RN
• Lindsay A. Koepke, PT
• Thomas A Koepke, MD
• Jesse J Koerner, DPT
• Peter Tongbak Koh, M.D.
• Kohl Dental LLC (Gary J Kohl DDS)
• Gary J Kohl, DDS
• Daniel Lee Kohn, LCSW, CADC III
• Jamie Lois Ann Kolka I, OTR, CHT

• Optometrist in Wausau, WI
• Providers in Wausau, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.