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NPI · 1396880415 · NPPES-sourced

Dr. Kelsey Jewett O.D.

ActiveOptometrist
NPI Number
1396880415
Type 1 · Individual
Taxonomy Code
152W00000X
Contact
(530) 275-0866
License CA · 5883T
Last Updated
About 5 months ago (Dec 2025)
Enumerated 2007-02-20
Primary practice addressCA · 96019-9414
4626 Shasta Dam BlvdShasta Lake, CA 96019-9414
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About this NPIWhat this record shows.

NPI 1396880415 is registered to Dr. Kelsey Jewett O.D., a Optometrist practising at 4626 Shasta Dam Blvd in Shasta Lake, California. Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Kelsey Jewett O.D. has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2007-02-20
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Kelsey Jewett O.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Kelsey Jewett O.D. directly at (530) 275-0866.

Frequently asked

Yes. NPI 1396880415 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (530) 275-0866.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Kelsey Jewett O.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152W00000X
Last updated2025-12
Enumerated2007-02-20
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Optometrist providers in California.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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