KELSEY JORDAN DABERKOW OD
NPI 1609622885
Optometrist in Lincoln, NE
About Kelsey Jordan Daberkow Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY JORDAN DABERKOW OD (NPI 1609622885) is an individual optometrist in Lincoln, Nebraska, licensed in Nebraska (1654) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Omaha, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Jordan Daberkow Od 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
2Medicare enrollment records show Kelsey Daberkow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lincoln, NE 68521
- Reassigned Medicare billing, Nebraska enrollment
- 2 clinicians in this Medicare group
Omaha, NE 68114
- Reassigned Medicare billing, Nebraska enrollment
- 13 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Daberkow's NPI number?
The NPI number for Kelsey Daberkow is 1609622885. It was assigned to this individual provider in the NPPES registry on April 29, 2024.
Where is Kelsey Daberkow located?
Kelsey Daberkow practices at 2550 Superior St Ste 150, Lincoln, NE 68521. The listed phone number is (402) 435-1166.
What is Kelsey Daberkow's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelsey Daberkow enrolled in Medicare?
Yes. Kelsey Daberkow 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 Daberkow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Daberkow reassigns Medicare benefits to 2 organizations: Nebraska Eye Institute (Lincoln, NE) and Heartland Eye Consultants LLC (Omaha, NE). 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 Daberkow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Daberkow accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Nebraska and 10 other insurers list Kelsey Daberkow 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 Daberkow was last updated on July 21, 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.
# Kelsey Jordan Daberkow, OD · NPI 1609622885
Optometrist provider in Lincoln, Nebraska. Individual provider, active in the CMS NPPES registry since April 29, 2024.
## Identity
- **NPI:** 1609622885 (Entity type: Individual)
- **Enumerated:** April 29, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 1654 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 2550 SUPERIOR ST STE 150, Lincoln, NE 68521-4156
- **Phone:** (402) 435-1166
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nebraska Eye Institute (NPI 1467665042, Lincoln, NE); Heartland Eye Consultants LLC (NPI 1003821422, Omaha, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609622885) · Data from the CMS NPPES public registry.