Kelly Landeen, MD
NPI 1902394406 · Otolaryngology Physician · Woodbury, MN
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Landeen, MD is a Otolaryngology Physician provider in Woodbury, MN (NPI 1902394406).
Provider details
- NPI number
- 1902394406
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 84952 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 3460 Promenade AveEagan, MN 55123-4404Phone: (651) 702-0750Fax: (651) 645-6166
- 11020 161st St WLakeville, MN 55044-6507Phone: (651) 702-0750Fax: (651) 645-6166
- 3590 Arcade StVadnais Heights, MN 55127-7135Phone: (651) 702-0750Fax: (651) 645-6166
- 2651 Hillcrest Dr Ste 302Hudson, WI 54016-9919Phone: (651) 702-0750Fax: (651) 645-6166
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Kelly Landeen's NPI number?
- Kelly Landeen's National Provider Identifier (NPI) is 1902394406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Landeen's specialty?
- Kelly Landeen is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Landeen located?
- Kelly Landeen's practice location on file with NPPES is 217 Radio Dr, Woodbury, MN 55125-5805.
- What is Kelly Landeen's phone number?
- The practice phone number listed in the NPPES registry for Kelly Landeen is (651) 702-0750.
- Does Kelly Landeen accept Medicare?
- Kelly Landeen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Landeen's NPI active?
- Yes — Kelly Landeen's NPI (1902394406) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.