DR. KURT KENNETH NELSON (O.D.) – Optometrist, NPI 1285792093

DR. KURT KENNETH NELSON (O.D.) is a healthcare provider. based in Dixon, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. The NPI Number for DR. KURT KENNETH NELSON (O.D.) is 1285792093

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. KURT KENNETH NELSON (O.D.)
NPI
1285792093
Phone
(815) 284-6866
Address
629 N GALENA AVE
Enumeration Date
5 December 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
4880644350
Professional Enrollment ID
I20050124000483
Address ID
IL610210572DIPOXXXBOXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. KURT KENNETH NELSON (O.D.)

  • 629, North Galena Avenue, Dixon, Dixon Township, Lee County, Illinois, 61021, United States

    P.O. BOX 572

    DIXON, IL 610211664

    Phone: (815) 284-6866

    Fax: (815) 284-2388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050124000483IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2727$0
View full utilization report →

Insurance plans in this area (ZIP 61021)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. KURT KENNETH NELSON (O.D.)'s NPI?
Yes. DR. KURT KENNETH NELSON (O.D.) is listed with NPI 1285792093 in the public NPI dataset.
Does CMS list DR. KURT KENNETH NELSON (O.D.) as active?
Yes — DR. KURT KENNETH NELSON (O.D.) is active in the NPI listing used on this page.
What is DR. KURT KENNETH NELSON (O.D.)'s specialty?
The listing groups DR. KURT KENNETH NELSON (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KURT KENNETH NELSON (O.D.) on a map?
Expect Dixon, Illinois as a primary anchor for DR. KURT KENNETH NELSON (O.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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