NEBELSICK OPTOMETRIC PLLC
NPI 1366288219
Optometrist in Rapid City, SD

Active since July 01, 2024
409 KANSAS CITY ST, RAPID CITY, SD 57701(605) 348-2323(605) 348-6694 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nebelsick Optometric Pllc NPPES

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

NEBELSICK OPTOMETRIC PLLC (NPI 1366288219) is a healthcare organization registered as an optometrist in Rapid City, South Dakota and active in the NPI registry since July 2024. The organization lists Jonathan Paul Nebelsick, Owner, as its authorized official.

NPPES Registry Identity

NPI1366288219
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNEBELSICK OPTOMETRIC PLLC
Location Address409 KANSAS CITY STRapid City, SD 57701-3636
Mailing Address23811 Kieffer Ranch RdRapid City, SD 57702-7369 · (605) 999-0152 · Fax (605) 348-6694
Fax(605) 348-6694
Organization SubpartNo
Authorized OfficialJonathan Paul NebelsickOwner · (605) 999-0152
Enumeration DateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1366288219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
409 KANSAS CITY ST, Rapid City, SD 57701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Nebelsick Optometric Pllc 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 Nebelsick Optometric PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1659926160
200 S CHICAGO ST
Hot Springs, SD 57747
(605) 745-3175
✔ PECOS✔ Accepts Medicare46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nebelsick Optometric PLLC's NPI number?

The NPI number for Nebelsick Optometric PLLC is 1366288219. It was assigned to this organization in the NPPES registry on July 1, 2024.

Where is Nebelsick Optometric PLLC located?

Nebelsick Optometric PLLC is located at 409 Kansas City St, Rapid City, SD 57701. The listed phone number is (605) 348-2323.

What is Nebelsick Optometric PLLC's specialty?

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

Is Nebelsick Optometric PLLC enrolled in Medicare?

Yes. Nebelsick Optometric PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nebelsick Optometric PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Nebelsick Optometric PLLC. 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.

What insurance does Nebelsick Optometric PLLC 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 and 1 other insurer list Nebelsick Optometric PLLC 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 Nebelsick Optometric PLLC was last updated on July 1, 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.