MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP) – Psychiatry Physician, NPI 1275535866

MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP) is a healthcare provider. based in Lewiston, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, ARNP. They hold a License No. AP60966969 (WA). The NPI Number for MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP) is 1275535866

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP)
NPI
1275535866
Phone
(509) 780-3392
Address
450 THAIN RD STE F
Enumeration Date
12 August 2005
Last Update Date
14 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
50948852568512
Graduation Year
2018 (8 years ago)
PAC ID
6103231337
Group Practice PAC ID
4486564309
Professional Enrollment ID
I20210219001387
Address ID
WA993441846OT1515XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,798 NURSE PRACTITIONER in ID

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Provider Addresses for MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP)

  • 450, Thain Road, Lewiston, Nez Perce County, Idaho, 83501, United States

    LEWISTON, ID 835015300

    Phone: (509) 780-3392

    Type: Mailing

  • 450 Thain Rd Ste F

    Lewiston, ID 835015300

    Phone: (509) 957-2130

    Fax: (509) 957-2096

    Type: Location

  • 1030 N CENTER PKWY STE N197

    KENNEWICK, WA 993367160

    Phone: (509) 957-2130

    Fax: (509) 957-2096

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $535.

Total Amount is formed as General ($535) + Research ($0) + Ownership ($0) = $535.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($235).

Total Amount

$535

General + Research + Ownership

Payments

9

Total payment records

General Amount

$535

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-02-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210219001387INurse PractitionerWATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486564309View full group profile
NameSpecialtyState
Physician AssistantWA
-WA
Undefined Non Physician Type (Specify), Mental Health CounselorWA
Nurse PractitionerWA
Nurse PractitionerWA
Family PracticeWA
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerWA
Physician AssistantWA

Reviews

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Frequently asked questions

Is MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP) listed with a National Provider Identifier?
Yes — MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP) has NPI 1275535866 on file in the registry.
Would MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP) appear as active to a payer?
You can treat MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP)'s focus?
For MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP) located near Lewiston?
MR. BRENT JOSEPH LANDKAMMER (PMHNP-BC, ARNP) currently maps to Lewiston, Idaho in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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