Kelsie Stevens, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002450 Issued in AZ

Practice address

6815 N 19TH Ave Ste 130
Phoenix, AZ 85015-1135

Phone

(602) 242-5293

NPI assigned

Jul 23, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Illinois College of Optometry at Chicago, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matthew R Sullivan OD PCGroup PAC ID 0749275378, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

8.33 of 100Reported as individual

Quality

16.67

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kstevens@eyedoc.ico.edu

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.

• Matthew R Sullivan OD

  • Optometrist
  • Prescott, AZ
  • NPI 1285813360
  Medicare reassignment Care Compare group NPD
• Riviera Opticare Inc.

  • Optometrist
  • Mesa, AZ
  • NPI 1972796100
  Medicare reassignment NPD
• Riviera Opticare Inc.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1629261854
  NPD

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1689283830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 N SCOTTSDALE RD UNIT 4102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517253",
            "telephone_number": "860-690-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 N 19TH AVE STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151135",
            "telephone_number": "602-242-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KELSIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kstevens@eyedoc.ico.edu",
            "affiliation": "N",
            "endpointDescription": "Professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Professional email",
            "address_1": "6815 N 19th Ave Ste 130",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850151135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Marie Stevens, M.D.
• Jessica Roxanne Stevens, FNP-C
• Kathleen Stevens, SLPL
• Kaylin Levian Stevens
• Kelly Ann Stevens, PT
• Lily R. Stevens, NP-C
• Marcella Stevens, RN
• Maria Theresa Stevens, MD
• Marissa Stevens, PA-C
• Martha S Stevens, LCSW

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

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