KELSEY DANIELLE LANDON (PA-C) – Physician Assistant, NPI 1033764360

KELSEY DANIELLE LANDON (PA-C) is a healthcare provider. based in Enid, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3058 (OK). The NPI Number for KELSEY DANIELLE LANDON (PA-C) is 1033764360

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY DANIELLE LANDON (PA-C)
NPI
1033764360
Phone
(580) 583-7505
Address
1205 CREEKDALE
Enumeration Date
4 August 2019
Last Update Date
4 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4058444978
Graduation Year
2018 (8 years ago)
PAC ID
9032449483
Group Practice PAC ID
0446239743
Professional Enrollment ID
I20190926003297
Address ID
OK730133084ED1701XBLVD303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for KELSEY DANIELLE LANDON (PA-C)

  • Creekdale, Enid, Garfield County, Oklahoma, 73703, United States

    ENID, OK 737032818

    Phone: (580) 583-7505

    Type: Mailing

  • 825, East Owen K Garriott Road, Enid, Garfield County, Oklahoma, 73701, United States

    ENID, OK 737015928

    Phone: (405) 844-4978

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $219.

Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($94).

Total Amount

$219

General + Research + Ownership

Payments

7

Total payment records

General Amount

$219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2019-09-26

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
I20190926003297IPhysician AssistantOKTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,744148$0
86235Measurement of antibody for assessment of autoimmune disorder, any method1,090108$0
99214Established patient office or other outpatient visit, 30-39 minutes603323$0
85652Red blood cell sedimentation rate, to detect inflammation, automated570325$0
86140Measurement c-reactive protein for detection of infection or inflammation569326$0
View full utilization report →

Insurance plans in this area (ZIP 73703)

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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: 0446239743View full group profile
NameSpecialtyState
Nurse PractitionerOK
Rheumatology, Internal MedicineOK
Nurse PractitionerOK
Physician AssistantOK
General PracticeOK
Nurse PractitionerTN
Physician AssistantOK
Nurse PractitionerOK
Rheumatology, Family PracticeOK
N E U R O L O G YOK

Reviews

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Frequently asked questions

How do I look up KELSEY DANIELLE LANDON (PA-C) by NPI?
Use NPI 1033764360 when you need to reference KELSEY DANIELLE LANDON (PA-C) in forms, claims, or directories.
Does this profile mean KELSEY DANIELLE LANDON (PA-C) is currently active?
Yes — KELSEY DANIELLE LANDON (PA-C) appears active in the national provider directory.
Does KELSEY DANIELLE LANDON (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for KELSEY DANIELLE LANDON (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for KELSEY DANIELLE LANDON (PA-C)?
We surface Enid, Oklahoma for KELSEY DANIELLE LANDON (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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