KASSIDY NELSON (OD) – Optometrist, NPI 1023670932

KASSIDY NELSON (OD) is a healthcare provider. based in Wamego, Kansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2104 (KS). The NPI Number for KASSIDY NELSON (OD) is 1023670932

Main info

Female
7 Years Of Experience
Name
KASSIDY NELSON (OD)
NPI
1023670932
Phone
(785) 456-2236
Address
631 Lincoln Ave
Enumeration Date
1 July 2019
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7854372978
Graduation Year
2019 (7 years ago)
PAC ID
4981939642
Group Practice PAC ID
7810922390
Professional Enrollment ID
I20190717002588
Address ID
KS665361618SA525XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for KASSIDY NELSON (OD)

  • 631 Lincoln Ave

    Wamego, KS 665471635

    Phone: (785) 456-2236

    Type: Location

  • 631 LINCOLN AVE

    WAMEGO, KS 665471635

    Phone: (785) 456-2236

    Type: Mailing

  • 3304 ASHWOOD CIR

    MANHATTAN, KS 665022074

    Phone: (785) 456-5011

    Type: Mailing

  • 1331 LARAMIE ST STE 120

    MANHATTAN, KS 665024022

    Phone: (785) 377-0077

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($223).

Total Amount

$255

General + Research + Ownership

Payments

10

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-07-17

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
I20190717002588IOptometryKSTBD

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 system252248$0
92012Established patient problem focused exam of visual system13695$0
92250Photography of the retina102100$0
92004New patient complete exam of visual system3838$0
92133Imaging of optic nerve3333$0
View full utilization report →

Insurance plans in this area (ZIP 66547)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810922390View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS

Reviews

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Frequently asked questions

How is KASSIDY NELSON (OD) identified in CMS data?
CMS-hosted NPPES data lists KASSIDY NELSON (OD) with NPI 1023670932.
Does CMS list KASSIDY NELSON (OD) as active?
Yes — KASSIDY NELSON (OD) is active in the NPI listing used on this page.
What healthcare role does KASSIDY NELSON (OD) hold?
Scheduling teams often label KASSIDY NELSON (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for KASSIDY NELSON (OD)?
KASSIDY NELSON (OD)'s geographic hint is Wamego, Kansas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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