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KRISTEN R RADTKE
NPI 1700861119
Pediatrics in St Louis Park, MN

Active since December 08, 2005PECOS Enrolled
3850 PARK NICOLLET BLVD, PARK NICOLLET CLINIC SLP, ST LOUIS PARK, MN 55416(952) 993-3123 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kristen R Radtke NPPES

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

KRISTEN R RADTKE (NPI 1700861119) is an individual pediatrics provider in St Louis Park, Minnesota, licensed in Minnesota (43772) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700861119
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTEN R RADTKE
Location Address3850 PARK NICOLLET BLVD, PARK NICOLLET CLINIC SLPSt Louis Park, MN 55416-2527
Mailing Address6465 Wayzata Blvd, Ste 315St Louis Park, MN 55426-1728 · (952) 993-6450 · Fax (952) 993-0300
Phone(952) 993-3123
Sole ProprietorNo
Enumeration DateDecember 8, 2005
Last NPPES UpdateJune 29, 2012
✔ NPI 1700861119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 43772
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3850 PARK NICOLLET BLVD, St Louis Park, MN 55416
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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)

Kristen R Radtke 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 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

ELISABETH JEAN MCCLEAN MD
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 883-1000
AMY VANDENBERG PA-C
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 883-1000
KELSEY WIDMYER ISRAELSON PA
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 883-1000
KARI MILLER
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3512
SARAH EVERT
Internal Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3025
DR. WAYNE D LIEBHARD M.D.
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3025
PATRICK MUELLER
Pediatrics
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3298
PARK NICOLLET HEALTH CARE PRODUCTS
Durable Medical Equipment & Medical Supplies
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-1330

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 Kristen Radtke's NPI number?

The NPI number for Kristen Radtke is 1700861119. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Kristen Radtke located?

Kristen Radtke practices at 3850 Park Nicollet Blvd Park Nicollet Clinic Slp, St Louis Park, MN 55416. The listed phone number is (952) 993-3123.

What is Kristen Radtke's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristen Radtke enrolled in Medicare?

Yes. Kristen Radtke is registered in the Medicare PECOS enrollment system.

What insurance does Kristen Radtke accept?

Health plans from HealthPartners and Medica list Kristen Radtke 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 Kristen Radtke was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.