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KELLY LYNN LANDIS FNP
NPI 1437078979
Nurse Practitioner - Family in Hagerstown, IN

Active since July 10, 2026PECOS Enrolled
4829 N STATE ROAD 1, HAGERSTOWN, IN 47346(765) 489-3935(765) 489-6344 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, Jul 10, 2026 (2 updates tracked since 2026).

About Kelly Lynn Landis Fnp NPPES

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

KELLY LYNN LANDIS FNP (NPI 1437078979) is an individual family provider in Hagerstown, Indiana, licensed in Indiana (71018426A) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1437078979
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY LYNN LANDISCredential: FNP
Location Address4829 N STATE ROAD 1Hagerstown, IN 47346-9620
Mailing Address1100 Reid PkwyRichmond, IN 47374-1157 · (765) 983-3000
Phone(765) 489-3935
Fax(765) 489-6344
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 10, 2026
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1437078979 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 IN · 71018426A
4829 N STATE ROAD 1, Hagerstown, IN 47346
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Lynn Landis Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082171947
PECOS Enrollment IDI20260811001545
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Landis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reid Physician Associates, Inc.
17 mi
Internal Medicine
1100 REID PKWY
Richmond, IN 47374
  • Reassigned Medicare billing, Indiana enrollment
  • 527 clinicians in this Medicare group
NPI 1265689111 (765) 983-3127

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 47346 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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

KIMBERLY DAWN MILLER FNP-C
Nurse Practitioner (Family)
4829 N STATE ROAD 1, HAGERSTOWN FAMILY PRACTICE
HAGERSTOWN, IN 47346
Wayne County (765) 489-3935
REID PHYSICIAN ASSOCIATES, INC
Clinic/Center (Rural Health)
4829 N STATE ROAD 1
HAGERSTOWN, IN 47346
Wayne County (765) 489-3935
NETTLE CREEK HEALTH CARE CENTER PC
Family Medicine
4829 N STATE ROAD 1, SUITE 1
HAGERSTOWN, IN 47346
Wayne County (765) 489-4578
KEIRSTAN WEST NP
Nurse Practitioner (Family)
4829 N STATE ROAD 1
HAGERSTOWN, IN 47346
Wayne County (765) 489-3935

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 Kelly Landis's NPI number?

The NPI number for Kelly Landis is 1437078979. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Kelly Landis located?

Kelly Landis practices at 4829 N State Road 1, Hagerstown, IN 47346. The listed phone number is (765) 489-3935.

What is Kelly Landis's specialty?

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

Is Kelly Landis enrolled in Medicare?

Yes. Kelly Landis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Landis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Landis reassigns Medicare benefits to Reid Physician Associates, Inc. (Richmond, IN). 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 Kelly Landis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Landis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Kelly Landis 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 Kelly Landis was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.