JILLIAN NICHOLE VANSELL OD
NPI 1609740596
Optometrist in St Petersburg, FL

Active since October 02, 2025PECOS EnrolledAccepts Medicare Assignment
1350 4TH ST N, ST PETERSBURG, FL 33701(727) 498-5117 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jillian Nichole Vansell Od NPPES

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

JILLIAN NICHOLE VANSELL OD (NPI 1609740596) is an individual optometrist in St Petersburg, Florida, licensed in Florida (OPC6817) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seminole, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609740596
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJILLIAN NICHOLE VANSELLCredential: OD
Location Address1350 4TH ST NSt Petersburg, FL 33701-1118
Mailing Address24978 Gottschalk RdSedalia, MO 65301-1538 · (660) 473-0135
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1609740596 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 FL · OPC6817
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.
1350 4TH ST N, St Petersburg, FL 33701

Secondary Practice Location 1

Location 17855 113th St Ste ASeminole, FL 33772-4672 · Phone (727) 317-6174

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

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

Jillian Nichole Vansell 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 ID2062905946
PECOS Enrollment IDI20251201001812
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 33701 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 2

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

Optometrist
1350 4TH ST N
ST PETERSBURG, FL 33701
Optometrist
1350 4TH ST N
ST PETERSBURG, FL 33701

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 Jillian Vansell's NPI number?

The NPI number for Jillian Vansell is 1609740596. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Jillian Vansell located?

Jillian Vansell practices at 1350 4th St N, St Petersburg, FL 33701. The listed phone number is (727) 498-5117.

What is Jillian Vansell's specialty?

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

Is Jillian Vansell enrolled in Medicare?

Yes. Jillian Vansell 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.

When was this NPI record last updated?

The NPPES record for Jillian Vansell was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.