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KELLY NICOLE POULIOT OD
NPI 1437843398
Optometrist in Palmer, MA

Active since June 05, 2023PECOS Enrolled
1504 N MAIN ST, PALMER, MA 01069(413) 283-3511 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Nicole Pouliot Od NPPES

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

KELLY NICOLE POULIOT OD (NPI 1437843398) is an individual optometrist in Palmer, Massachusetts, licensed in Massachusetts (S19215586) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2023).

NPPES Registry Identity

NPI1437843398
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLY NICOLE POULIOTCredential: OD
Location Address1504 N MAIN STPalmer, MA 01069-1215
Mailing Address30 Hollywood StSouth Hadley, MA 01075-3012
Phone(413) 283-3511
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2023
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1437843398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · S19215586
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.
1504 N MAIN ST, Palmer, MA 01069
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Nicole Pouliot Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941650055
PECOS Enrollment IDI20240102000549
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.

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.

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.
109 services109 patients
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.
67 services67 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.
25 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01069 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 6

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

KELLY AND VELAZQUEZ EYE CENTER PC
Ophthalmology
1504 N MAIN ST
PALMER, MA 01069
Hampden County (413) 283-3511
DR. LEONARDO JAVIER VELAZQUEZ M.D.
Ophthalmology
1504 N MAIN ST
PALMER, MA 01069
Hampden County (413) 283-3511
PETER J KELLY MD
Ophthalmology
1504 N MAIN ST
PALMER, MA 01069
Hampden County (413) 283-3511
DENNIS M DORANS OD
Optometrist
1504 N MAIN ST
PALMER, MA 01069
Hampden County (413) 283-3511
KELLY AND VELAZQUEZ EYE CENTER PC
Durable Medical Equipment & Medical Supplies
1504 N MAIN ST
PALMER, MA 01069
Hampden County (413) 283-3511
TIMOTHY MURPHY OPTICIAN
Technician/Technologist (Optician)
1504 N MAIN ST
PALMER, MA 01069
Hampden County (413) 283-3511

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 Pouliot's NPI number?

The NPI number for Kelly Pouliot is 1437843398. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Kelly Pouliot located?

Kelly Pouliot practices at 1504 N Main St, Palmer, MA 01069. The listed phone number is (413) 283-3511.

What is Kelly Pouliot's specialty?

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

Is Kelly Pouliot enrolled in Medicare?

Yes. Kelly Pouliot is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Pouliot accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelly Pouliot 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 Pouliot was last updated on June 5, 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.