MRS. DANA LYNNE LANDAVAZO PA-C
NPI 1053597989
Physician Assistant in Keller, TX

Active since January 10, 2008PECOS Enrolled
10601 N RIVERSIDE DR, KELLER, TX 76244(817) 347-2600(817) 247-2650 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2021, Apr 9, 2021, Sep 23, 2016 and 1 more (4 updates tracked since 2016).

About Mrs. Dana Lynne Landavazo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DANA LYNNE LANDAVAZO PA-C (NPI 1053597989) is an individual physician assistant in Keller, Texas, licensed in Texas (PA07414) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053597989
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. DANA LYNNE LANDAVAZOCredential: PA-C
Location Address10601 N RIVERSIDE DRKeller, TX 76244-2118
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Fax(817) 247-2650
Sole ProprietorNo
Enumeration DateJanuary 10, 2008
Last NPPES UpdateApril 22, 20214 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1053597989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA07414
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10601 N RIVERSIDE DR, Keller, TX 76244

Other Names 1

Former Name (1)Ms. Dana Lynne Mailen

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Dana Lynne Landavazo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
10601 N RIVERSIDE DR
KELLER, TX 76244
Nurse Practitioner (Family)
10601 N RIVERSIDE DR
FORT WORTH, TX 76244
Nurse Practitioner (Pediatrics)
10601 N RIVERSIDE DR
FORT WORTH, TX 76244
Pediatrics
10601 N RIVERSIDE DR
FORT WORTH, TX 76244
Psychologist (Counseling)
10601 N RIVERSIDE DR
KELLER, TX 76244
Nurse Practitioner (Family)
10601 N RIVERSIDE DR
FT WORTH, TX 76244
Nurse Practitioner (Acute Care)
10601 N RIVERSIDE DR
FORT WORTH, TX 76244
Clinic/Center (Urgent Care)
10601 N RIVERSIDE DR
FORT WORTH, TX 76244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dana Landavazo's NPI number?

The NPI number for Dana Landavazo is 1053597989. It was assigned to this individual provider in the NPPES registry on January 10, 2008. The provider is also known as Ms. Dana Lynne Mailen.

Where is Dana Landavazo located?

Dana Landavazo practices at 10601 N Riverside Dr, Keller, TX 76244. The listed phone number is (817) 347-2600.

What is Dana Landavazo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dana Landavazo enrolled in Medicare?

Yes. Dana Landavazo is registered in the Medicare PECOS enrollment system.

What insurance does Dana Landavazo accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Dana Landavazo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dana Landavazo was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.