KIP NEWELL OD LLC
NPI 1205018413
Optometrist in Upper Sandusky, OH
About Kip Newell Od Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIP NEWELL OD LLC (NPI 1205018413) is a healthcare organization registered as an optometrist in Upper Sandusky, Ohio and active in the NPI registry since November 2007. The organization lists Mary Newell, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kip Newell Od Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kip Newell Od LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Kip Newell Od LLC carries, from the Medicare DMEPOS supplier directory.
Kip Newell Od LLC
DMEPOS supplier · Upper Sandusky, OHAccepts Medicare assignment
Kip Newell Od LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Kip Newell Od LLC's NPI number?
The NPI number for Kip Newell Od LLC is 1205018413. It was assigned to this organization in the NPPES registry on November 29, 2007.
Where is Kip Newell Od LLC located?
Kip Newell Od LLC is located at 131 W Wyandot Ave, Upper Sandusky, OH 43351. The listed phone number is (419) 209-0540.
What is Kip Newell Od LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kip Newell Od LLC enrolled in Medicare?
Yes. Kip Newell Od LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kip Newell Od LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kip Newell Od LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kip Newell Od LLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Kip Newell Od LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Kip Newell Od LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Kip Newell Od LLC 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 Kip Newell Od LLC was last updated on May 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kip Newell Od Llc · NPI 1205018413
Optometrist organization in Upper Sandusky, Ohio. Organization record, active in the CMS NPPES registry since November 29, 2007.
## Identity
- **NPI:** 1205018413 (Entity type: Organization)
- **Enumerated:** November 29, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Mary Newell, OFFICE MANAGER
## Practice location
- **Address:** 131 W WYANDOT AVE, Upper Sandusky, OH 43351-1348
- **Phone:** (419) 209-0540 · **Fax:** (419) 209-0540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2011
- **Other identifiers:** Medicare NSC 6497470001 (OH); Medicare PIN DQ8875 (OH); Medicare PIN DB7120 (OH); and 4 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1205018413) · Data from the CMS NPPES public registry.