DR. KASEY NICOLE NAKAJIMA (OD) – Optometrist, NPI 1992169049

DR. KASEY NICOLE NAKAJIMA (OD) is a healthcare provider. based in Forest grove, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 34096TLG (CA). The NPI Number for DR. KASEY NICOLE NAKAJIMA (OD) is 1992169049

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KASEY NICOLE NAKAJIMA (OD)
NPI
1992169049
Phone
(831) 233-2077
Address
1626 22ND AVE
Enumeration Date
5 April 2016
Last Update Date
5 June 2019

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
4587902192
Group Practice PAC ID
8022068675
Professional Enrollment ID
I20190206001756
Address ID
CA939407858MO21XXXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,935 OPTOMETRY in CA

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Provider Addresses for DR. KASEY NICOLE NAKAJIMA (OD)

  • 1626, 22nd Avenue, Gales Creek Terrace, Forest Grove, Metro, Washington County, Oregon, 97116, United States

    FOREST GROVE, OR 971161612

    Phone: (831) 233-2077

    Type: Mailing

  • Upper Ragsdale Drive, Monterey, Monterey County, California, 93955, United States

    MONTEREY, CA 939407858

    Phone: (831) 372-1500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,871.

Total Amount is formed as General ($1,871) + Research ($0) + Ownership ($0) = $1,871.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($273).

Total Amount

$1,871

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,871

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2019-02-06

PECOS data refreshed: 2026-06-15

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
I20190206001756IOptometryCATBD

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 system106106$0
99213Established patient office or other outpatient visit, 20-29 minutes7663$0
92012Established patient problem focused exam of visual system3636$0
92134Imaging of retina1514$0
92004New patient complete exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 97116)

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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: 8022068675View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

What number should I use to identify DR. KASEY NICOLE NAKAJIMA (OD) for billing?
Administrative and clinical systems typically use NPI 1992169049 for DR. KASEY NICOLE NAKAJIMA (OD).
Quick check: is DR. KASEY NICOLE NAKAJIMA (OD) active?
Public NPPES data shows DR. KASEY NICOLE NAKAJIMA (OD) with an active NPI status right now.
What services align with DR. KASEY NICOLE NAKAJIMA (OD)'s listing?
DR. KASEY NICOLE NAKAJIMA (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KASEY NICOLE NAKAJIMA (OD)?
DR. KASEY NICOLE NAKAJIMA (OD) is associated with Forest Grove, Oregon in the same public data insurers reference.
Can I export DR. KASEY NICOLE NAKAJIMA (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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