JENNA MICHELLE KELSON O.D.
NPI 1821449174
Optometrist in Brooklyn, NY

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
2133 86TH ST, BROOKLYN, NY 11214(718) 449-1525 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 19, 2019, Jun 28, 2016 (2 updates tracked since 2016).

About Jenna Michelle Kelson O.d. NPPES

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

JENNA MICHELLE KELSON O.D. (NPI 1821449174) is an individual optometrist in Brooklyn, New York, licensed in New York (008478) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2016).

NPPES Registry Identity

NPI1821449174
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJENNA MICHELLE KELSONCredential: O.D.
Location Address2133 86TH STBrooklyn, NY 11214-3205
Mailing Address894 Meinecke Ave, Ste ASan Luis Obispo, CA 93405-1790 · (805) 543-6632
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2016
Enumeration DateJune 28, 2016
Last NPPES UpdateSeptember 19, 20192 updates tracked since enumeration
✔ NPI 1821449174 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 NY · 008478
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.
2133 86TH ST, Brooklyn, NY 11214

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

Jenna Michelle Kelson O.d. 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 ID7315233517
PECOS Enrollment IDI20250715000737
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jenna Kelson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
2921 ERIE BLVD E
Syracuse, NY 13224
  • Reassigned Medicare billing, New York enrollment
  • 243 clinicians in this Medicare group
Optometrist
2445 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Missouri enrollment
  • 41 clinicians in this Medicare group
Optometrist
1709 MISSOURI BOULEVARD, UNITS IJK
Jefferson City, MO 65101
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Paige Hedgpath Odpc
  • 83 clinicians in this Medicare group
Optometrist
1004 INDEPENDENCE CENTER
Independence, MO 64057
  • Reassigned Medicare billing, Missouri enrollment
  • 32 clinicians in this Medicare group
Optometrist
1245 BROAD ST
San Luis Obispo, CA 93401
  • Reassigned Medicare billing, California enrollment
  • 4 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 11214 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Eyewear Supplier
2133 86TH ST
BROOKLYN, NY 11214
Optometrist
2133 86TH ST
BROOKLYN, NY 11214

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 Jenna Kelson's NPI number?

The NPI number for Jenna Kelson is 1821449174. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Jenna Kelson located?

Jenna Kelson practices at 2133 86th St, Brooklyn, NY 11214. The listed phone number is (718) 449-1525.

What is Jenna Kelson's specialty?

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

Is Jenna Kelson enrolled in Medicare?

Yes. Jenna Kelson 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 Jenna Kelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Kelson reassigns Medicare benefits to 5 organizations: Empire Vision Center Inc (Syracuse, NY), International Eyecare Center LLC (Quincy, IL), Paige Hedgpath Od,pc (Jefferson City, MO), Visionworks, Inc. (Independence, MO) and B Jeffrey Blue Od And Jason Chang Od Inc (San Luis Obispo, CA). 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 Jenna Kelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Kelson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Jenna Kelson 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 Jenna Kelson was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.