AUDRA LANDRY (MSW) – Clinical Social Worker, NPI 1770728701
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AUDRA LANDRY (MSW)
2222 Coburg Rd
Eugene, OR 974014966
Phone: (458) 210-2984
Fax: (458) 210-2985
Type: Location
1200 Hilyard St Ste 310
Eugene, OR 974018122
Phone: (458) 205-6709
Fax: (458) 205-6708
Type: Location
1515 Village Dr Ste 200
Cottage Grove, OR 974249700
Phone: (514) 767-5200
Fax: (541) 767-5310
Type: Location
1515 Village Dr Ste 220
Cottage Grove, OR 974249700
Phone: (541) 767-5200
Fax: (541) 767-5353
Type: Location
1515 Village Dr Ste 100
Cottage Grove, OR 974249700
Phone: (541) 767-5200
Fax: (541) 767-5288
Type: Location
260, East 11th Avenue, Eugene, Lane County, Oregon, 97401, United States
EUGENE, OR 974013247
Phone: (541) 484-4428
Type: Mailing
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: 2022-11-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221116002631 | I | Clinical Social Worker | OR | TBD |
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.
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 97401)
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