MRS. BEVERLY JOANNE LANDRY NURSE PRACTITIONER
NPI 1083965735
Nurse Practitioner - Family in Loma Linda, CA

Q: 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.

Q: What is Beverly Landry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 13 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.

Active since September 20, 2012PECOS Enrolled

11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1083965735

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. BEVERLY JOANNE LANDRYCredential: NURSE PRACTITIONER

Location Address11201 BENTON STLoma Linda, CA 92357-1000

Mailing Address11201 Benton StLoma Linda, CA 92357-1000

Phone(909) 825-7084

Sole ProprietorNo

Enumeration DateSeptember 20, 2012

✔ NPI 1083965735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 17668

11201 BENTON ST, Loma Linda, CA 92357

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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. Beverly Joanne Landry Nurse Practitioner 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 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.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

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 20

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

DR. ARTHUR CHUNG-LIUNG CHANG M.D.

Radiology (Diagnostic Radiology)

11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)