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KELLY NOEL FREESE OD
NPI 1003227059
Optometrist in Sartell, MN

Active since May 13, 2014PECOS Enrolled
2380 TROOP DR, SUITE201, SARTELL, MN 56377(320) 258-3915(320) 258-3917 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 8, 2021, Mar 21, 2016 (2 updates tracked since 2016).

About Kelly Noel Freese Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY NOEL FREESE OD (NPI 1003227059) is an individual optometrist in Sartell, Minnesota, licensed in Arizona (OPT-0022511) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2014).

NPPES Registry Identity

NPI1003227059
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLY NOEL FREESECredential: OD
Location Address2380 TROOP DR, SUITE201Sartell, MN 56377-4636
Mailing Address220 N Mckemy AveChandler, AZ 85226-2654 · (480) 835-4472 · Fax (480) 893-8172
Phone(320) 258-3915
Fax(320) 258-3917
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2014
Enumeration DateMay 13, 2014
Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
✔ NPI 1003227059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · OPT-0022511
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2380 TROOP DR, Sartell, MN 56377
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Noel Freese Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961628250
PECOS Enrollment IDI20210112001781
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Freese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family First Vision Care Arizona PLLC
1,249 mi
Optometrist
2730 W DOVE VALLEY RD STE 120
Phoenix, AZ 85085
  • Reassigned Medicare billing, Arizona enrollment
  • 36 clinicians in this Medicare group
NPI 1639875826 (614) 831-0268
Dn & a Eyecare PLLC
1,265 mi
Optometrist
3111 W CHANDLER BLVD STE 2104
Chandler, AZ 85226
  • Reassigned Medicare billing, Arizona enrollment
  • 11 clinicians in this Medicare group
NPI 1679239701 (480) 726-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT TILSON CLAIBORNE D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
2380 TROOP DR
SARTELL, MN 56377
Stearns County (320) 348-7470
TANDEM ORTHOTICS AND PROSTHETICS, INC.
Prosthetic/Orthotic Supplier
2380 TROOP DR, SUITE 204
SARTELL, MN 56377
Stearns County (320) 252-9211
DR. TAMMY K DICKINSON D.C.
Chiropractor
2380 TROOP DR, UNIT 201
SARTELL, MN 56377
Stearns County (612) 460-5674
MR. LOREN J. KOSLOSKI
Student in an Organized Health Care Education/Training Program
2380 TROOP DR, SUITE 201
SARTELL, MN 56377
Stearns County (320) 237-1326

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Freese's NPI number?

The NPI number for Kelly Freese is 1003227059. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Kelly Freese located?

Kelly Freese practices at 2380 Troop Dr Suite201, Sartell, MN 56377. The listed phone number is (320) 258-3915.

What is Kelly Freese's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kelly Freese enrolled in Medicare?

Yes. Kelly Freese is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Freese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Freese reassigns Medicare benefits to 2 organizations: Family First Vision Care Arizona PLLC (Phoenix, AZ) and Dn & a Eyecare PLLC (Chandler, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Freese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Freese accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Blue Cross Blue Shield of Wyoming and 12 other insurers list Kelly Freese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Freese was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.