Active NPI
Nathan Landry, PA-C
- Physician Assistant
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA065958
- Practice address
- 2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411 - Phone
- (717) 731-0101
- Fax
- (717) 731-8359
- NPI assigned
- Sep 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA065958 | PA | |
| Physician Assistant | 363A00000X | MA065958 | PA | Primary |
Addresses
Primary practice location
2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411
Mailing address
2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S Front St
FL 2
Harrisburg, PA 17101-2010
Phone (717) 731-0101
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 731-0101
2020 Technology Pkwy
Suite 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101
2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone (717) 920-4400
360 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 243-6557
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
- Wellspan Chambersburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- nlandry437560@upmc.direct-ci.com
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Wormleysburg, PA
- NPI 1952603342
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1235965443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 TECHNOLOGY PKWY STE 201",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509411",
"telephone_number": "717-731-0101",
"fax_number": "717-731-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 TECHNOLOGY PKWY STE 201",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509411",
"telephone_number": "717-731-0101",
"fax_number": "717-731-8359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "NATHAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-12",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA065958",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA065958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.