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DR. KELSEY DANIELLE ELLIOTT OD
NPI 1114585122
Optometrist in Great Bend, KS

Active since June 04, 2019PECOS EnrolledAccepts Medicare Assignment
713 MCKINLEY ST, GREAT BEND, KS 67530(620) 792-3535(800) 466-7923 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2023, Jun 4, 2019 (2 updates tracked since 2019).

About Dr. Kelsey Danielle Elliott Od NPPES

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

DR. KELSEY DANIELLE ELLIOTT OD (NPI 1114585122) is an individual optometrist in Great Bend, Kansas, licensed in Kansas (2186) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Larned, and is a graduate of University Alabama Birmingham - School Of Optometry (2019).

NPPES Registry Identity

NPI1114585122
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELSEY DANIELLE ELLIOTTCredential: OD
Location Address713 MCKINLEY STGreat Bend, KS 67530-4707
Mailing Address722 Mann AveLarned, KS 67550-2909 · (620) 285-2105 · Fax (620) 285-7236
Phone(620) 792-3535
Fax(800) 466-7923
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2019
Enumeration DateJune 4, 2019
Last NPPES UpdateSeptember 14, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
✔ NPI 1114585122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in KS · 2186✔ Licensed in TN · PENDING
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.
713 MCKINLEY ST, Great Bend, KS 67530
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Other Names 1

Other Name (5)Dr. Kelsey Danielle Nash Od

Secondary Practice Location 1

Location 1722 Mann AveLarned, KS 67550-2909 · Phone (620) 285-2105 · Fax (620) 285-7236

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Dr. Kelsey Danielle Elliott 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.

PECOS PAC ID6305177056
PECOS Enrollment IDI20230602001860
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 Reassignment

Medicare enrollment records show Kelsey Elliott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Douglas D. Ayre, Optometrist, PA
Same address
Optometrist
713 MCKINLEY
Great Bend, KS 67530
  • Reassigned Medicare billing, Kansas enrollment
  • 3 clinicians in this Medicare group
NPI 1184728776 (620) 792-3535

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 10

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
122 services122 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services83 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
91 services91 patients
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.
82 services79 patients
2d ultrasound scan of eye tissue and structures 76512
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
51 services48 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
26 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67530 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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

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

DR. REED ALLAN MCATEE OD
Optometrist
713 MCKINLEY ST
GREAT BEND, KS 67530
Barton County (620) 792-3535

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 Elliott's NPI number?

The NPI number for Kelsey Elliott is 1114585122. It was assigned to this individual provider in the NPPES registry on June 4, 2019. The provider is also known as Dr. Kelsey Danielle Nash Od.

Where is Kelsey Elliott located?

Kelsey Elliott practices at 713 Mckinley St, Great Bend, KS 67530. The listed phone number is (620) 792-3535.

What is Kelsey Elliott's specialty?

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

Is Kelsey Elliott enrolled in Medicare?

Yes. Kelsey Elliott 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 organization bills Medicare for Kelsey Elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Elliott reassigns Medicare benefits to Dr. Douglas D. Ayre, Optometrist, PA (Great Bend, KS). The 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 Elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Elliott accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 8 other insurers list Kelsey Elliott 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 Elliott was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.