DR. MARY NAN KELSEY IV D.D.S.
NPI 1962492678
Dentist - General Practice in Omaha, NE

Q: What is Mary Kelsey's NPI number?

The NPI number for Mary Kelsey is 1962492678. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Mary Kelsey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kelsey was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 25, 2005PECOS Enrolled

220 N 89TH ST, OMAHA, NE 68114(402) 390-6006(402) 390-6446 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary Nan Kelsey Iv D.d.s. NPPES

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

DR. MARY NAN KELSEY IV D.D.S. (NPI 1962492678) is an individual general practice provider in Omaha, Nebraska, licensed in Nebraska (4675) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962492678

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARY NAN KELSEY IVCredential: D.D.S.

Location Address220 N 89TH STOmaha, NE 68114-4072

Mailing Address220 N 89th StOmaha, NE 68114-4072 · (402) 390-6006 · Fax (402) 390-6446

Phone(402) 390-6006

Fax(402) 390-6446

Sole ProprietorNo

Enumeration DateOctober 25, 2005

Last NPPES UpdateOctober 29, 2015

✔ NPI 1962492678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NE · 4675

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

220 N 89TH ST, Omaha, NE 68114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Mary Nan Kelsey Iv D.d.s. 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 68114 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 4

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

DR. WILLIAM W SMITH M.D.

Orthopaedic Surgery

220 N 89TH ST, SUITE 101
OMAHA, NE 68114

Douglas County (402) 393-3616

JOSEPH MICHAEL JON PILMAIER RN, BSN

Registered Nurse (Home Health)

220 N 89TH ST
OMAHA, NE 68114

Douglas County (402) 502-5750

JACK K LEWIS MD PC

Internal Medicine

220 N 89TH ST, SUITE 101
OMAHA, NE 68114

Douglas County (402) 393-3616

WILLIAM W. SMITH, M.D., P.C.

Orthopaedic Surgery

220 N 89TH ST, SUITE 101
OMAHA, NE 68114

Douglas County (402) 393-3616

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 Mary Kelsey's NPI number?

The NPI number for Mary Kelsey is 1962492678. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Mary Kelsey located?

Mary Kelsey practices at 220 N 89th St, Omaha, NE 68114. The listed phone number is (402) 390-6006.

What is Mary Kelsey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mary Kelsey enrolled in Medicare?

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

What insurance does Mary Kelsey accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mary Kelsey 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 Mary Kelsey was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.