KELLY FENSTERMACHER O.D.
NPI 1275143034
Optometrist in Little Falls, MN
About Kelly Fenstermacher O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY FENSTERMACHER O.D. (NPI 1275143034) is an individual optometrist in Little Falls, Minnesota, licensed in Arizona (OPT-002448) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry.
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
Kelly Fenstermacher O.d. 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 Reassignment
Medicare enrollment records show Kelly Fenstermacher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Falls, MN 56345
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Little Falls Eye Care Center PA
- 3 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 5
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 56345 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 3
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 Kelly Fenstermacher's NPI number?
The NPI number for Kelly Fenstermacher is 1275143034. It was assigned to this individual provider in the NPPES registry on August 6, 2020.
Where is Kelly Fenstermacher located?
Kelly Fenstermacher practices at 313 1st St SE, Little Falls, MN 56345. The listed phone number is (320) 632-3676.
What is Kelly Fenstermacher's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelly Fenstermacher enrolled in Medicare?
Yes. Kelly Fenstermacher 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 Kelly Fenstermacher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fenstermacher reassigns Medicare benefits to Little Falls Eye Care Center P.A (Little Falls, MN). 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 Kelly Fenstermacher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Fenstermacher accept?
Health plans from HealthPartners and Providence Health Plan list Kelly Fenstermacher 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 Fenstermacher was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelly Fenstermacher, O.D. · NPI 1275143034
Optometrist provider in Little Falls, Minnesota. Individual provider, active in the CMS NPPES registry since August 6, 2020.
## Identity
- **NPI:** 1275143034 (Entity type: Individual)
- **Enumerated:** August 6, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT-002448 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 313 1ST ST SE, Little Falls, MN 56345-3005
- **Phone:** (320) 632-3676
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Little Falls Eye Care Center P.A (NPI 1609897594, Little Falls, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry
## Record status
- **NPPES last updated:** August 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275143034) · Data from the CMS NPPES public registry.