Individual provider Active NPI

Landon R. Kleeb, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Joseph, MO
National Provider Identifier
1619248747
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2011029735 Issued in MO
Practice address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone
(816) 271-6350
Fax
(816) 271-6753
NPI assigned
Jan 20, 2012
Last updated
Jan 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2011029735 MO Primary

Addresses

Primary practice location

5325 Faraon St
Saint Joseph, MO 64506-3488

Mailing address

PO Box 410245
Kansas City, MO 64141-0245
Phone (913) 642-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108002563 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214196195 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Meadows Anesthesia LLCGroup PAC ID 5395900518, 2 clinicians

Practice addresses (Care Compare)

3911 Ambrosia St
Suite 201
Castle Rock, CO 80109-3888
Phone (303) 788-8888

8500 Park Meadows Dr
Suite 100
Lone Tree, CO 80124-2743
Phone (303) 951-7524

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
87.67
Improvement activities
40
Cost
80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2011029735MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Denver Gastroenterology, PC CurrentSince Mar 1, 2024 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
South Denver Gastroenterology, PC Current Accepting new patients
Madison Street Provider Network Inc CurrentSince Jan 1, 2019 Accepting new patients
Madison Street Provider Network Inc CurrentSince Jan 1, 2019 Accepting new patients
Spineone, PLLC CurrentSince Oct 28, 2021 Accepting new patients
Prowers County Hospital District CurrentSince Jul 12, 2020 Accepting new patients
South Denver Gastroenterology, PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Park Meadows Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2022 Accepting new patients

Locations

3911 Ambrosia St
Ste 201
Castle Rock, CO 80109
Phone (303) 788-8888

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

55 Madison St
Ste 355
Denver, CO 80206
Phone (303) 398-7320

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124
Phone (303) 788-8888

8500 Park Meadows Dr
Lone Tree, CO 80124
Phone (303) 279-3777

8500 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 951-7510

8500 Park Meadows Dr
Ste 200
Lone Tree, CO 80124
Phone (303) 367-2225

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: landon.kleeb.1@3461.direct.athenahealth.com
  • Direct secure messaging: landon.kleeb.p1@direct.inlandeyespecialists.nextgenshare.com

Organizations & group practices 9

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": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1619248747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410245",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641410245",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6350",
            "fax_number": "816-271-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEEB",
        "first_name": "LANDON",
        "middle_name": "R.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2011029735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.