KELSEY DECAMPOS - STAIRIKER – Optometrist, NPI 1023875473

KELSEY DECAMPOS - STAIRIKER is a healthcare provider. based in Aurora, Oregon. specializing in OPTOMETRY. They hold a License No. AT4770 (OR). The NPI Number for KELSEY DECAMPOS - STAIRIKER is 1023875473

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KELSEY DECAMPOS - STAIRIKER
NPI
1023875473
Phone
(503) 758-7191
Address
14700 NE PRAIRIE VIEW CT
Enumeration Date
4 March 2024
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5032920848
Graduation Year
2025 (1 year ago)
PAC ID
6901319284
Group Practice PAC ID
9234039926
Professional Enrollment ID
I20250630003683
Address ID
OR972256699PO9135XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for KELSEY DECAMPOS - STAIRIKER

  • 14700 NE PRAIRIE VIEW CT

    AURORA, OR 970029513

    Phone: (503) 758-7191

    Type: Mailing

  • 9135 SW BARNES RD STE 961

    PORTLAND, OR 972256699

    Phone: (503) 292-0848

    Fax: (503) 296-0635

    Type: Location

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: 2025-06-30

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
I20250630003683IOptometryORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97002)

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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: 9234039926View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
O P T O M E T R YOR
O P T O M E T R YOR
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YCA
-OR
O P H T H A L M O L O G YOR
-OR
O P H T H A L M O L O G YOR

Reviews

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Frequently asked questions

Can I use this page to confirm KELSEY DECAMPOS - STAIRIKER's NPI?
Yes. KELSEY DECAMPOS - STAIRIKER is listed with NPI 1023875473 in the public NPI dataset.
Can I rely on KELSEY DECAMPOS - STAIRIKER being an active provider?
As of the registry snapshot, KELSEY DECAMPOS - STAIRIKER is marked active.
What is KELSEY DECAMPOS - STAIRIKER's primary classification?
Optometrist is the headline specialty for KELSEY DECAMPOS - STAIRIKER here. Clinical services aligned with this taxonomy classification.
What address line appears for KELSEY DECAMPOS - STAIRIKER?
KELSEY DECAMPOS - STAIRIKER's geographic hint is Aurora, Oregon in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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