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KELLY MARIE LANDLE P.A.-C
NPI 1497723217
Physician Assistant in Kendrick, ID

Active since March 08, 2006
606 E MAIN ST, KENDRICK, ID 83537(208) 289-3841(208) 289-3961 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Landle P.a.-c NPPES

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

KELLY MARIE LANDLE P.A.-C (NPI 1497723217) is an individual physician assistant in Kendrick, Idaho, licensed in Idaho (PA-345) and active in the NPI registry since March 2006. She maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1497723217
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MARIE LANDLECredential: P.A.-C
Location Address606 E MAIN STKendrick, ID 83537
Mailing Address700 S Main StMoscow, ID 83843-3046 · (208) 882-4511
Phone(208) 289-3841
Fax(208) 289-3961
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateApril 16, 2019
✔ NPI 1497723217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-345
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10004069 (WA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA10004069 (WA)
606 E MAIN ST, Kendrick, ID 83537
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Secondary Practice Location 1

Location 1320 Warner DrLewiston, ID 83501-4441 · Phone (208) 743-3523 · Fax (208) 746-8741

Other Identifiers 4

Other970027265Railroad Medicare
Other0141613WA · State Work Comp
Medicaid806673600ID
Medicaid8201634WA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
52%114 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
54%231 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
24%41 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%3,226 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
82%717 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
93%122 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%779 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
71%779 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%779 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
11%779 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

MRS. SARAH GRACE FOX AURICH DNP
Nurse Practitioner (Family)
606 E MAIN ST
KENDRICK, ID 83537
Latah County (208) 289-3841
GRITMAN MEDICAL CENTER INC
Clinic/Center (Rural Health)
606 E MAIN ST
KENDRICK, ID 83537
Latah County (208) 289-3841

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 Landle's NPI number?

The NPI number for Kelly Landle is 1497723217. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Kelly Landle located?

Kelly Landle practices at 606 E Main St, Kendrick, ID 83537. The listed phone number is (208) 289-3841.

What is Kelly Landle's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Landle was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.