Landry Deuboue, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AC002868 Issued in MD

Practice address

157 Baltimore St
Cumberland, MD 21502-2472

Phone

(240) 727-3995

Fax

(833) 903-0130

NPI assigned

Apr 25, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MD, DC, NY4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Varahe Health Services LLCGroup PAC ID 6002347077, 11 clinicians

Kinetic Primary CareGroup PAC ID 5294192779, 9 clinicians

Kinetic Medical GroupGroup PAC ID 5294141909, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.47 of 100Reported as group

Quality

83.93

Improvement activities

40

Cost

72.99

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kinetic Medical Group

  • Family Nurse Practitioner
  • Potomac, MD
  • NPI 1285228585
  Medicare reassignment Care Compare group NPD
• Kinetic Primary Care

  • General Practice Physician
  • Potomac, MD
  • NPI 1528761897

  Gerontology

  Medicare reassignment Care Compare group NPD
• Varahe Health Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Rockville, MD
  • NPI 1811727753

  DC

  Medicare reassignment Care Compare group NPD
• Novus Pain Management - Maryland, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Severna Park, MD
  • NPI 1720440449

  DC

  Medicare reassignment NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  DC, Nurse Practitioner

  Medicare reassignment NPD
• Charter Oak Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, CT
  • NPI 1992750855
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MD, Nurse Practitioner

  Medicare reassignment NPD
• Glory Favor Inc

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1093328890
  Medicare reassignment
• Charter Oak Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, CT
  • NPI 1841937679
  NPD
• Gold Shield Medical Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1881201184
  NPD (past)
• Parkway Medical Association LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1831846070
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1013337252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "240-727-3995",
            "fax_number": "833-903-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "240-727-3995",
            "fax_number": "833-903-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUBOUE",
        "first_name": "LANDRY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "AC002868",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC002868",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "AC002868",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R257308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Scott Dehart, PSYD
• Jeremy Patrick Deinlein, LCSW-C
• Joseph Andrew Dekker, DO
• Mary Elizabeth Demartino, LSCW -C
• James B. Deren, M.D.
• Anne L. Devaughn, LCSW-C, LMFT
• Devlin Manor Nursing and Rehabilitation Center, LLC
• Dennis Daniel Dey, MD
• James Boyd Diehl, CRNA
• Karla Diehl

• Primary Care Nurse Practitioner in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.