KELSEY JORDAN OD
NPI 1619406154
Optometrist in Boston, MA

Active since June 08, 2017PECOS Enrolled
150 S HUNTINGTON AVE, BOSTON, MA 02130(857) 364-6669 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2021, Aug 9, 2018, Jun 8, 2017 (3 updates tracked since 2017).

About Kelsey Jordan Od NPPES

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

KELSEY JORDAN OD (NPI 1619406154) is an individual optometrist in Boston, Massachusetts, licensed in Massachusetts (5239) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1619406154
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELSEY JORDANCredential: OD
Location Address150 S HUNTINGTON AVEBoston, MA 02130-4817
Mailing Address150 S Huntington AveBoston, MA 02130
Sole ProprietorNo
Enumeration DateJune 8, 2017
Last NPPES UpdateJune 15, 20223 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1619406154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MA · 5239 Licensed in NH · 0977
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.
150 S HUNTINGTON AVE, Boston, MA 02130

Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756 · Phone (603) 650-5123

Accepted 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)

Kelsey Jordan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02130 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

Psychologist (Clinical)
150 S HUNTINGTON AVE, 116B-3
BOSTON, MA 02130
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Psychologist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Internal Medicine (Hematology & Oncology)
150 S HUNTINGTON AVE, IIIHO
BOSTON, MA 02130
Registered Nurse
150 S HUNTINGTON AVE
BOSTON, MA 02130
Pharmacist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Psychologist (Clinical)
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM
BOSTON, MA 02130

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 Jordan's NPI number?

The NPI number for Kelsey Jordan is 1619406154. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Kelsey Jordan located?

Kelsey Jordan practices at 150 S Huntington Ave, Boston, MA 02130. The listed phone number is (857) 364-6669.

What is Kelsey Jordan's specialty?

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

Is Kelsey Jordan enrolled in Medicare?

Yes. Kelsey Jordan is registered in the Medicare PECOS enrollment system.

What insurance does Kelsey Jordan accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Kelsey Jordan 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 Jordan was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.