MR. KENNETH ROBERT LEESON (DNP) – Family Nurse Practitioner, NPI 1992225866
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
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Provider Addresses for MR. KENNETH ROBERT LEESON (DNP)
1700 UNIVERSITY AVE W
SAINT PAUL, MN 551043727
Phone:
Type: Mailing
2905, Yosemite Avenue South, Birchwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
ST LOUIS PARK, MN 554161859
Phone: (262) 305-0830
Type: Mailing
1825, Woodwinds Drive, Woodbury, Washington County, Minnesota, 55125, United States
WOODBURY, MN 551252202
Phone: (651) 232-6700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170814000757 | I | Nurse Practitioner | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 247 | 187 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 145 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 63 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 48 | 47 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 47 | 39 | $0 |
Insurance plans in this area (ZIP 55104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Internal Medicine | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| Internal Medicine | MN | |
| - | MN |
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