Individual provider Active NPI

Kelsey Marie Keltgen, O.D.

  • Optometrist
  • Victoria, MN
National Provider Identifier
1609156835
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003237 Issued in MN
Practice address
2160 Arboretum Blvd
Victoria, MN 55386-3300
Phone
(612) 800-7335
Fax
(612) 800-7336
NPI assigned
Aug 19, 2011
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3237 MN
Optometrist 152W00000X 0003237 MN Primary

Addresses

Primary practice location

2160 Arboretum Blvd
Victoria, MN 55386-3300

Mailing address

2160 Arboretum Blvd
Victoria, MN 55386-3300
Phone (612) 800-7335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121220000354 MN Practitioner - Optometry 0042471732 Reassigns benefits to 2 organizations
Practice locations: Eden Prairie, MN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2160 Arboretum Blvd
Victoria, MN 55386-3300
Phone (612) 800-7335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003237MNMDOptometrist
3237MNMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wallerich Eye Care LLC Dba Swoop Eye Care Optometrist CurrentSince Aug 31, 2021 Accepting new patients
Seek Eye Care, PA Optometrist CurrentSince Oct 1, 2016 Accepting new patients

Locations

8225 Flying Cloud Dr
Eden Prairie, MN 55344
Phone (952) 563-0246

817 E 66th St
Richfield, MN 55423
Phone (612) 488-1566

1300 University Ave W
Saint Paul, MN 55104
Phone (651) 642-1146

2160 Arboretum Blvd
Victoria, MN 55386
Phone (612) 800-7335

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1609156835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 ARBORETUM BLVD",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553863300",
            "telephone_number": "612-800-7335",
            "fax_number": "612-800-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 ARBORETUM BLVD",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553863300",
            "telephone_number": "612-800-7335",
            "fax_number": "612-800-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTGEN",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3237",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "0003237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, MN

Sources for this page

Verify at the official NPI Registry.