NATHAN LANDRY (PA-C) – Physician Assistant, NPI 1235965443

NATHAN LANDRY (PA-C) is a healthcare provider. based in Mechanicsburg, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA065958 (PA). The NPI Number for NATHAN LANDRY (PA-C) is 1235965443

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN LANDRY (PA-C)
NPI
1235965443
Phone
(717) 731-0101
Address
2020 TECHNOLOGY PKWY STE 201
Enumeration Date
12 September 2024
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7172436557
Graduation Year
2024 (2 years ago)
PAC ID
7113453192
Group Practice PAC ID
6901087006
Professional Enrollment ID
I20241213002272
Address ID
PA170159129CA360XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for NATHAN LANDRY (PA-C)

  • 2020 TECHNOLOGY PKWY STE 201

    MECHANICSBURG, PA 170509411

    Phone: (717) 731-0101

    Fax: (717) 731-8359

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-13

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
I20241213002272IPhysician AssistantPATBD

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 17050)

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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: 6901087006View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicinePA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-PA
Physician AssistantPA
Internal Medicine, Cardiovascular Disease (Cardiology)PA
Nurse PractitionerPA
Interventional Cardiology, Cardiovascular Disease (Cardiology)PA
Cardiovascular Disease (Cardiology), Interventional CardiologyPA
-PA
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyPA

Reviews

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Frequently asked questions

What identifier follows NATHAN LANDRY (PA-C) across health systems?
The NPI 1235965443 uniquely identifies NATHAN LANDRY (PA-C) in U.S. healthcare data.
Should I treat NATHAN LANDRY (PA-C) as an active provider?
Patients and plans typically see NATHAN LANDRY (PA-C) as active in the national extract.
What services align with NATHAN LANDRY (PA-C)'s listing?
NATHAN LANDRY (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NATHAN LANDRY (PA-C)?
NATHAN LANDRY (PA-C) is associated with Mechanicsburg, Pennsylvania in the same public data insurers reference.
Why is information missing for NATHAN LANDRY (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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