ENID S LANDRETH (RN) – Nurse Practitioner, NPI 1811569825

ENID S LANDRETH (RN) is a healthcare provider. based in Woburn, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. RN2287542 (MA). The NPI Number for ENID S LANDRETH (RN) is 1811569825

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ENID S LANDRETH (RN)
NPI
1811569825
Phone
(617) 840-6561
Address
111 LOCUST ST APT 40-B1
Enumeration Date
11 July 2021
Last Update Date
6 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782673900
Graduation Year
2021 (5 years ago)
PAC ID
6800254582
Group Practice PAC ID
9830507763
Professional Enrollment ID
I20230628002046
Address ID
MA017205601AC1XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for ENID S LANDRETH (RN)

  • 111 LOCUST ST APT 40-B1

    WOBURN, MA 018013871

    Phone: (617) 840-6561

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($467).

Total Amount

$521

General + Research + Ownership

Payments

6

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-06-28

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
I20230628002046INurse PractitionerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,012202$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes166100$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes8473$0
99497Advance care planning, first 30 minutes4038$0
99316Nursing facility discharge management, more than 30 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 01801)

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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: 9830507763View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Internal MedicineMA
Internal Medicine, HospitalistMA
Nurse PractitionerMA
Internal MedicineMI
Infectious DiseaseMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What NPI should I save for ENID S LANDRETH (RN)?
Save NPI 1811569825 if you need a stable reference for ENID S LANDRETH (RN).
Is ENID S LANDRETH (RN) active in the national directory?
ENID S LANDRETH (RN)'s public NPI profile is in an active state.
Can you summarize ENID S LANDRETH (RN)'s specialty in plain language?
Clinically, the directory lists ENID S LANDRETH (RN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place ENID S LANDRETH (RN)?
The snapshot lists Woburn, Massachusetts for ENID S LANDRETH (RN); download NPPES for the complete set.
Is ENID S LANDRETH (RN) a real provider?
This page reflects official NPPES data for NPI 1811569825. Always confirm identity and privileges with the practice and licensing boards.

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