MRS. BEVERLY JOANNE LANDRY NURSE PRACTITIONER
NPI 1083965735
Nurse Practitioner - Family in Loma Linda, CA
About Mrs. Beverly Joanne Landry Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BEVERLY JOANNE LANDRY NURSE PRACTITIONER (NPI 1083965735) is an individual family provider in Loma Linda, California, licensed in California (17668) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Beverly Joanne Landry Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Beverly Landry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92357 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92357
LOMA LINDA, CA 92357
LOMA LINDA, CA 92357
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 Beverly Landry's NPI number?
The NPI number for Beverly Landry is 1083965735. It was assigned to this individual provider in the NPPES registry on September 20, 2012.
Where is Beverly Landry located?
Beverly Landry practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.
What is Beverly Landry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Beverly Landry enrolled in Medicare?
Yes. Beverly Landry is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Beverly Landry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Landry reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beverly Landry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Beverly Landry was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Beverly Joanne Landry, NURSE PRACTITIONER · NPI 1083965735
Family physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since September 20, 2012.
## Identity
- **NPI:** 1083965735 (Entity type: Individual)
- **Enumerated:** September 20, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 17668 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11201 BENTON ST, Loma Linda, CA 92357-1000
- **Phone:** (909) 825-7084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Faculty Physicians And Surgeons Of Llusm (NPI 1790326825, Loma Linda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1083965735) · Data from the CMS NPPES public registry.