Jennifer Lynn Kellems, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003361A Issued in IN

Practice address

849 Pacer Dr NW
Corydon, IN 47112-2145

Phone

(812) 738-2278

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Southern Indiana PCGroup PAC ID 4183688310, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.8 of 100Reported as group

Quality

93.82

Promoting interoperability

100

Improvement activities

40

Cost

78.84

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.kellems.od@direct.have2020.nextgenshare.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.

• Eye Associates of Southern Indiana PC

  • Ophthalmology Physician
  • Jeffersonville, IN
  • NPI 1336219922

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Associates of Southern Indiana PC

  dba Frankfort Vision Center

  • Optometrist
  • Frankfort, KY
  • NPI 1962533851
  NPD
• Eye Associates of Southern Indiana PC

  • Durable Medical Equipment & Medical Supplies
  • New Albany, IN
  • NPI 1083607592

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1669549440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12270 SAINT LOUIS ST",
            "city": "LEOPOLD",
            "state": "IN",
            "postal_code": "475518950",
            "telephone_number": "812-719-8219",
            "fax_number": "812-738-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 PACER DR NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122145",
            "telephone_number": "812-738-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEMS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003361B",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003361A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.kellems.od@direct.have2020.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provider Direct Email Address",
            "address_1": "302 W 14th St",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Derek Richard Jordan, D.C.
• Julie S. Didat O.D P.S.C
• Natalie Katt, OD
• Linda Kaufer
• Autumn L Kaylor
• Paul D Kelty, MD
• Luke Michael Keusch, D.D.S.
• Kids Dentistree - Corydon LLC
• Jessica Nicole King
• Kevin Andrew Kline, D.O.

• Optometrist in Corydon, IN
• Providers in Corydon, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.