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KELSEY JORDAN DABERKOW OD
NPI 1609622885
Optometrist in Lincoln, NE

Active since April 29, 2024PECOS EnrolledAccepts Medicare Assignment
2550 SUPERIOR ST STE 150, LINCOLN, NE 68521(402) 435-1166 Get Directions Write a Review

NPPES record last updated: July 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2024, Apr 29, 2024 (2 updates tracked since 2024).

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

NPI1609622885
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELSEY JORDAN DABERKOWCredential: OD
Location Address2550 SUPERIOR ST STE 150Lincoln, NE 68521-4156
Mailing Address6556 S 32nd StLincoln, NE 68516-4680 · (402) 525-2044
Phone(402) 435-1166
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 29, 2024
Last NPPES UpdateJuly 21, 20242 updates tracked since enumeration
NPPES CertifiedJuly 21, 2024
✔ NPI 1609622885 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 NE · 1654
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.
2550 SUPERIOR ST STE 150, Lincoln, NE 68521
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Secondary Practice Location 1

Location 19900 Nicholas St Ste 250Omaha, NE 68114-2261 · Phone (402) 493-6500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9638615800
PECOS Enrollment IDI20240724000687
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.

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.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

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.

What insurance does Kelsey Daberkow accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Montana and 5 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.