DR. MELINDA KATHRYN KENNEL (O.D.) – Optometrist, NPI 1013908656

DR. MELINDA KATHRYN KENNEL (O.D.) is a healthcare provider. based in Broken bow, Nebraska. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1728 (KS). The NPI Number for DR. MELINDA KATHRYN KENNEL (O.D.) is 1013908656

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELINDA KATHRYN KENNEL (O.D.)
NPI
1013908656
Phone
(308) 872-2291
Address
PO BOX 506
Enumeration Date
2 November 2005
Last Update Date
26 October 2021

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
4023911143
Graduation Year
2002 (24 years ago)
PAC ID
4486657905
Group Practice PAC ID
1456684471
Professional Enrollment ID
I20080731000795
Address ID
NE681243208OM3044XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

338 OPTOMETRY in NE

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Provider Addresses for DR. MELINDA KATHRYN KENNEL (O.D.)

  • PO BOX 506

    BROKEN BOW, NE 688220506

    Phone: (308) 872-2291

    Fax: (308) 872-3122

    Type: Mailing

  • Prairie Eyecare Center, 408, South 8th Avenue, Broken Bow, Custer County, Nebraska, 68822, United States

    BROKEN BOW, NE 688222009

    Phone: (308) 872-2291

    Fax: (308) 872-3122

    Type: Location

  • 1130 S 13TH ST STE 200

    NORFOLK, NE 687015733

    Phone: (402) 379-1434

    Fax: (402) 371-9154

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $234.

Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($131).

Total Amount

$234

General + Research + Ownership

Payments

3

Total payment records

General Amount

$234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2008-07-31

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
I20080731000795IOptometryNETBD

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 system7878$0
92004New patient complete exam of visual system5454$0
66984Removal of cataract with insertion of prosthetic lens2716$0
99213Established patient office or other outpatient visit, 20-29 minutes2320$0
92134Imaging of retina2018$0
View full utilization report →

Insurance plans in this area (ZIP 68822)

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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: 1456684471View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. MELINDA KATHRYN KENNEL (O.D.)?
The registry entry for DR. MELINDA KATHRYN KENNEL (O.D.) shows NPI 1013908656.
Does the public listing show DR. MELINDA KATHRYN KENNEL (O.D.) as active?
DR. MELINDA KATHRYN KENNEL (O.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. MELINDA KATHRYN KENNEL (O.D.)'s specialty?
The extract shows Optometrist for DR. MELINDA KATHRYN KENNEL (O.D.). Clinical services aligned with this taxonomy classification.
Is DR. MELINDA KATHRYN KENNEL (O.D.) tied to Broken Bow, Nebraska?
If you are local to Broken Bow, Nebraska, DR. MELINDA KATHRYN KENNEL (O.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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