KAITLIN LANDRUM PA-C
NPI 1487365490
Physician Assistant in Mesa, AZ

Active since December 09, 2022PECOS EnrolledAccepts Medicare Assignment
6112 E BROWN RD, MESA, AZ 85205(480) 924-4422 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 5, 2025, Oct 15, 2023, Dec 9, 2022 (3 updates tracked since 2022).

About Kaitlin Landrum Pa-c NPPES

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

KAITLIN LANDRUM PA-C (NPI 1487365490) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (9958) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487365490
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLIN LANDRUMCredential: PA-C
Location Address6112 E BROWN RDMesa, AZ 85205-4955
Mailing Address6112 E Brown RdMesa, AZ 85205-4955 · (480) 924-4422
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 9, 2022
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
NPI 1487365490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 9958
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.

6112 E BROWN RD, Mesa, AZ 85205

Other Names 1

Former Name (1)Kaitlin Masterson Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kaitlin Landrum Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173974532
PECOS Enrollment IDI20240110001323
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 85205 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 9

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

Internal Medicine
6112 E BROWN RD
MESA, AZ 85205
Family Medicine
6112 E BROWN RD
MESA, AZ 85205
Clinic/Center
6112 E BROWN RD
MESA, AZ 85205
Physical Therapist
6112 E BROWN RD
MESA, AZ 85205
Physician Assistant
6112 E BROWN RD
MESA, AZ 85205
Physician Assistant (Medical)
6112 E BROWN RD
MESA, AZ 85205
Physical Therapist (Orthopedic)
6112 E BROWN RD, SUITE101
MESA, AZ 85205
Family Medicine
6112 E BROWN RD
MESA, AZ 85205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487365490, enumerated as an "individual" on December 09, 2022.

The provider is located at 6112 E BROWN RD MESA, AZ 85205 and the phone number is (480) 924-4422.

Physician Assistant with taxonomy code 363A00000X.