KELLY LANDEEN MD
NPI 1902394406
Otolaryngology in Woodbury, MN

Q: What is Kelly Landeen's NPI number?

The NPI number for Kelly Landeen is 1902394406. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Q: What is Kelly Landeen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Landeen was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 April 30, 2018PECOS EnrolledAccepts Medicare Assignment

217 RADIO DR, WOODBURY, MN 55125(651) 702-0750(651) 645-6166 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Jun 25, 2025, Feb 24, 2025 and 4 more (7 updates tracked since 2018).

On this page

About Kelly Landeen Md NPPES

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

KELLY LANDEEN MD (NPI 1902394406) is an individual otolaryngology provider in Woodbury, Minnesota, licensed in Minnesota (78338) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1902394406

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameKELLY LANDEENCredential: MD

Location Address217 RADIO DRWoodbury, MN 55125-5805

Mailing Address215 Radio Dr Ste 202Woodbury, MN 55125-5822 · (651) 705-0750 · Fax (651) 645-6166

Phone(651) 702-0750

Fax(651) 645-6166

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2018

Enumeration DateApril 30, 2018

Last NPPES UpdateNovember 20, 20257 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1902394406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in MN · 78338✔ Licensed in WI · 84952

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

217 RADIO DR, Woodbury, MN 55125

Open in Google Maps ↗

Secondary Practice Locations 4

Location 111020 161st St WLakeville, MN 55044-6507 · Phone (651) 702-0750 · Fax (651) 645-6166

Location 22651 Hillcrest Dr Ste 302Hudson, WI 54016-9919 · Phone (651) 702-0750 · Fax (651) 645-6166

Location 33460 Promenade AveEagan, MN 55123-4404 · Phone (651) 702-0750 · Fax (651) 645-6166

Location 43590 Arcade StVadnais Heights, MN 55127-7135 · Phone (651) 702-0750 · Fax (651) 645-6166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 and accepts Medicare assignment

Kelly Landeen Md 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 ID6305205741

PECOS Enrollment IDI20241213000812, I20241213000993

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240038

Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County

Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 20

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

MR. RICHARD G KARLEN MD

Otolaryngology