KELSEY SCHULTZ
NPI 1164044111
Optometrist in Castro Valley, CA
About Kelsey Schultz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY SCHULTZ (NPI 1164044111) is an individual optometrist in Castro Valley, California, licensed in California (34616) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Kelsey Schultz 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
3Medicare enrollment records show Kelsey Schultz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Castro Valley, CA 94546
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Elizabethtown, NC 28337
- Reassigned Medicare billing, North Carolina enrollment
- 8 clinicians in this Medicare group
Wilmington, NC 28409
- Reassigned Medicare billing, North Carolina enrollment
- 7 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94546 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 8
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 Schultz's NPI number?
The NPI number for Kelsey Schultz is 1164044111. It was assigned to this individual provider in the NPPES registry on May 13, 2020.
Where is Kelsey Schultz located?
Kelsey Schultz practices at 20046 Lake Chabot Rd, Castro Valley, CA 94546. The listed phone number is (239) 719-0009.
What is Kelsey Schultz's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelsey Schultz enrolled in Medicare?
Yes. Kelsey Schultz 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 Schultz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Schultz reassigns Medicare benefits to 3 organizations: (Castro Valley, CA), Bladen Eye Center Od PLLC (Elizabethtown, NC) and Omni Eye Services Od PLLC (Wilmington, NC). 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 Schultz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Schultz accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 12 other insurers list Kelsey Schultz 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 Schultz was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelsey Schultz · NPI 1164044111
Optometrist provider in Castro Valley, California. Individual provider, active in the CMS NPPES registry since May 13, 2020.
## Identity
- **NPI:** 1164044111 (Entity type: Individual)
- **Enumerated:** May 13, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34616 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20046 LAKE CHABOT RD, Castro Valley, CA 94546-5304
- **Phone:** (239) 719-0009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): (NPI 1184832313, Castro Valley, CA); Bladen Eye Center Od PLLC (NPI 1336299684, Elizabethtown, NC); Omni Eye Services Od PLLC (NPI 1225188071, Wilmington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164044111) · Data from the CMS NPPES public registry.