Look up the most recent NPI and PECOS records

Addison Landry

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

818 Congress St, Portland, ME 04102-3112

PECOS Enrollment

Based on the most recent information from CMS, provider Addison Landry is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:35 PM.

Profile Details

Provider ID
1003548561
Provider Type
Individual
Full Name
Landry, Addison
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/24/2022
Last Updated
7/14/2025

Contact Information

Practice Location

818 Congress St, Portland, ME 04102-3112

(207) 773-8161

(207) 773-1489

Mailing Location

818 Congress St, Portland, ME 04102-3112

(207) 773-8161

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA2881 Maine

Addison Landry

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Segarra, Irene O

Kelly, Amanda Rose

Duffy, Kara

Bothel, Cody

Cox, Kelsey Matthes

Fisher, Patrick William

Neubauer, David L

Stephansky, Jason Robert

Zimmerman, Ryan C

Kenney, Julianna Cole