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MS. JENNIFER LOU LANDOLT NURSE PRACTITIONER
NPI 1679734123
Nurse Practitioner - Psychiatric/Mental Health in Old Lyme, CT

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
55 HATCHETTS HILL RD, OLD LYME, CT 06371(800) 370-3651(877) 515-7147 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jennifer Lou Landolt Nurse Practitioner NPPES

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

MS. JENNIFER LOU LANDOLT NURSE PRACTITIONER (NPI 1679734123) is an individual psychiatric/mental health provider in Old Lyme, Connecticut, licensed in Connecticut (7709) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1679734123
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JENNIFER LOU LANDOLTCredential: NURSE PRACTITIONER
Location Address55 HATCHETTS HILL RDOld Lyme, CT 06371-1534
Mailing Address232 E 26th, #3New York, NY 10010 · (646) 284-7282
Phone(800) 370-3651
Fax(877) 515-7147
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 18, 2008
Last NPPES UpdateAugust 2, 2018
✔ NPI 1679734123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CT · 7709✔ Licensed in NY · 401083-1
55 HATCHETTS HILL RD, Old Lyme, CT 06371
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Secondary Practice Location 1

Location 1500 8th Ave, 3rd floorNew York, NY 10018-6504 · Phone (212) 904-1500 ext. 244 · Fax (212) 904-1444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Ms. Jennifer Lou Landolt Nurse Practitioner 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 ID2860774064
PECOS Enrollment IDI20210924002449
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services35 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
135 services33 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06371 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 17

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

LISA UMANITA LCSW
Social Worker (Clinical)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
WALTER KRAUSS
Psychologist
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
ELIZABETH WOOD
Psychologist
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
KELSEY OTT-SUDIK
Social Worker (Clinical)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
ELIZABETH GREEN
Social Worker (Clinical)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
ANGELA FARAH BALLAS APRN
Nurse Practitioner
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
KRISTIN HAMBIDGE PSYD
Psychologist (Clinical)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
KAREN G DONOVAN
Nurse Practitioner (Gerontology)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651

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 Jennifer Landolt's NPI number?

The NPI number for Jennifer Landolt is 1679734123. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Jennifer Landolt located?

Jennifer Landolt practices at 55 Hatchetts Hill Rd, Old Lyme, CT 06371. The listed phone number is (800) 370-3651.

What is Jennifer Landolt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Landolt enrolled in Medicare?

Yes. Jennifer Landolt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Landolt accept?

Health plans from Providence Health Plan list Jennifer Landolt 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 Jennifer Landolt was last updated on August 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.