Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER MARTINA LANDRUM FNP-BC
NPI 1720551732
Nurse Practitioner in Las Vegas, NV

Q: What is Jennifer Landrum's NPI number?

The NPI number for Jennifer Landrum is 1720551732. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Q: What is Jennifer Landrum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Landrum was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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 January 03, 2019PECOS EnrolledAccepts Medicare Assignment

2212 S EASTERN AVE, LAS VEGAS, NV 89104(702) 735-9334(702) 735-9335 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, May 5, 2020, Jan 3, 2019 (3 updates tracked since 2019).

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About Jennifer Martina Landrum Fnp-bc NPPES

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

JENNIFER MARTINA LANDRUM FNP-BC (NPI 1720551732) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (853083) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720551732

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER MARTINA LANDRUMCredential: FNP-BC

Location Address2212 S EASTERN AVELas Vegas, NV 89104-4124

Mailing Address3325 Research WayCarson City, NV 89706-7913 · (775) 887-5140 · Fax (775) 884-3618

Phone(702) 735-9334

Fax(702) 735-9335

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 3, 2019

Last NPPES UpdateSeptember 9, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1720551732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NV · 853083

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 240917 (AZ), F10181025 (AL)

2212 S EASTERN AVE, Las Vegas, NV 89104

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Secondary Practice Locations 2

Location 1601 W Riverside Dr Ste 2Parker, AZ 85344-5119 · Phone (928) 256-4110 · Fax (928) 256-4112

Location 22464 Ridgemont DrBirmingham, AL 35244-1251 · Phone (334) 669-8566

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

Jennifer Martina Landrum Fnp-bc 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 ID8426480518

PECOS Enrollment IDI20260701002587

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 89104 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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. VIVEK GANDOTRA DDS

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