Individual provider Active NPI

Kelli S Landrum, FNP-C

  • Family Nurse Practitioner
  • Kenai, AK
National Provider Identifier
1437526894
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
133545 Issued in AK
Practice address
805 Frontage Rd
Kenai, AK 99611
Phone
(907) 283-3600
Fax
(907) 283-3601
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201506440NP-PP OR
Nurse Practitioner 363L00000X 227339 LA
Family Nurse Practitioner 363LF0000X 133545 AK Primary

Addresses

Primary practice location

805 Frontage Rd
Kenai, AK 99611

Mailing address

PO Box 2949
Soldotna, AK 99669-2949
Phone (907) 260-7303

Other practice location 1

3311 Prescott Rd Ste 110
Alexandria, LA 71301-3917
Phone (318) 448-4995

Other practice location 2

3311 Prescott Rd Ste 314
Alexandria, LA 71301-3984
Phone (318) 528-3668

Other practice location 3

230 E Marydale Ave
Soldotna, AK 99669-7648
Phone (907) 262-3119

Other practice location 4

900 Sunset Dr
LA Grande, OR 97850-1387
Phone (541) 562-6180

Other practice location 5

2108 Texas Ave Ste 2080
Alexandria, LA 71301-3944
Phone (318) 448-4995

Other practice location 6

80 Versailles Blvd
Alexandria, LA 71303-3978
Phone (318) 473-1711

Other identifiers 1

IdentifierTypeStateIssuer
1684877MedicaidAK

Other names 1

  • Kelli S Vicek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221128000797 LA Practitioner - Nurse Practitioner 2961711445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

3311 Prescott Rd
Alexandria, LA 71301-3900
Phone (318) 487-1122

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 483-4090

Hospital & facility affiliations

  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
227339LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 19, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 19, 2022 Accepting new patients
Peninsula Community Health Services of Alaska, Inc. PastSince Jul 15, 2018 Accepting new patients

Locations

3311 Prescott Rd
Ste 314
Alexandria, LA 71301
Phone (318) 448-8517

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Interoperability endpoints

  • Direct secure messaging: klandrum295513@christushealth.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1437526894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2949",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996692949",
            "telephone_number": "907-260-7303",
            "fax_number": "907-260-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FRONTAGE RD",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "99611",
            "telephone_number": "907-283-3600",
            "fax_number": "907-283-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 Prescott Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013917",
            "country_code": "US",
            "telephone_number": "318-448-4995",
            "fax_number": "318-561-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3311 Prescott Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013984",
            "country_code": "US",
            "telephone_number": "318-528-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 E Marydale Ave",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697648",
            "country_code": "US",
            "telephone_number": "907-262-3119",
            "fax_number": "907-262-9290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978501387",
            "country_code": "US",
            "telephone_number": "541-562-6180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 Texas Ave Ste 2080",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013944",
            "country_code": "US",
            "telephone_number": "318-448-4995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Versailles Blvd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713033978",
            "country_code": "US",
            "telephone_number": "318-473-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "KELLI",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201506440NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "227339",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "133545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684877",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "VICEK",
            "middle_name": "S",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.