DR. KELSEY MARIE MANESCALCO OD
NPI 1003338211
Optometrist in Otsego, MN
About Dr. Kelsey Marie Manescalco Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELSEY MARIE MANESCALCO OD (NPI 1003338211) is an individual optometrist in Otsego, Minnesota, licensed in Minnesota (3513) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2017).
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelsey Marie Manescalco Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Manescalco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 435 clinicians in this Medicare group
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelsey Manescalco's NPI number?
The NPI number for Kelsey Manescalco is 1003338211. It was assigned to this individual provider in the NPPES registry on July 10, 2017. The provider is also known as Kelsey Marie Westbrook.
Where is Kelsey Manescalco located?
Kelsey Manescalco practices at 15704 90th St NE # 100, Otsego, MN 55330. The listed phone number is (763) 241-1090.
What is Kelsey Manescalco's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelsey Manescalco enrolled in Medicare?
Yes. Kelsey Manescalco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelsey Manescalco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Manescalco reassigns Medicare benefits to 2 organizations: Mercy Hospitals East Communities (Saint Louis, MO) and Ssm Health Care Group (Saint Louis, MO). 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 Kelsey Manescalco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Manescalco accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Kelsey Manescalco 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 Kelsey Manescalco was last updated on July 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Kelsey Marie Manescalco, OD · NPI 1003338211
Optometrist provider in Otsego, Minnesota. Individual provider, active in the CMS NPPES registry since July 10, 2017.
## Identity
- **NPI:** 1003338211 (Entity type: Individual)
- **Enumerated:** July 10, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3513 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 15704 90TH ST NE # 100, Otsego, MN 55330-7448
- **Phone:** (763) 241-1090
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Hospitals East Communities (NPI 1851431738, Saint Louis, MO); Ssm Health Care Group (NPI 1306589544, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri St Louis - School Of Optometry, class of 2017
## Record status
- **NPPES last updated:** July 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1003338211) · Data from the CMS NPPES public registry.