Kelsey Marie Manescalco, OD
NPI 1003338211ActiveIndividual· Optometrist· Otsego, MN
Optometrist (OD) in Otsego, Minnesota, trained at University of Missouri St Louis - School of Optometry (class of 2017). Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1003338211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Jul 10, 2017 |
| Last updated in NPPES | Jul 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3513 | MN |
| Optometrist, Pediatrics | 152WP0200X | 3513 | MN |
| Optometrist, Sports Vision | 152WS0006X | 3513 | MN |
| Optometrist, Vision Therapy | 152WV0400X | 3513 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MO) |
|---|
Education and affiliations
| Medical school | University of Missouri St Louis - School of Optometry |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Optometry |
Medical group
- Ssm Health Care GroupSaint Louis, MO · 940 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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