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Active NPI 1679144364 Individual Practitioner Female Practitioner

Jacqueline Ann Landry , MSN, APRN, FNP-BC

Nurse Practitioner • Andover, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacqueline Landry, MSN, APRN, FNP-BC is a certified Nurse Practitioner practicing in Andover, MA. With approximately 5 years of clinical experience since completing medical education in 2021, Jacqueline Landry delivers high-quality medical care to the local community at 323 LOWELL ST.

Jacqueline Landry is affiliated with Andover Obstetrics And Gynecological Associates Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

323 Lowell St

Andover, MA 018104659

Telephone 9784752731
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Andover, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -10.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Andover, MA (3545 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Landry (5 Years) 5 Yrs
Andover Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $400.00 $111.02

Medical Specialties & State Licenses

CMS Verified: 2021-12-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2273331

(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.

Registered Nurse - Medical-Surgical

NUCC Taxonomy Code: 163WM0705X

State License NH 065494-21

Definition to come...

Hospital & Practice Group Affiliations

Andover Obstetrics And Gynecological Associates Pc

323 Lowell St, Andover, MA 018104659

Phone: 9784752731

Secondary Practice Locations

1 Elliot Way

Manchester, NH 031033599

Phone: 6036637520

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Sarah Yanulis , FNP-BC

Nurse Practitioner - Family

NPI 1073363172

Family Nurse Practitioner (Board Certified)

Alexsis Walter , CNP

Nurse Practitioner - Women's Health

NPI 1073981155

Certified Nurse Practitioner

Dr. Edwin Radke , MD

Obstetrics & Gynecology

NPI 1184661761

Doctor of Medicine (M.D.)

Dr. Andrea Polonsky , MD

Obstetrics & Gynecology

NPI 1245316389

Doctor of Medicine (M.D.)

Dr. Elise Saks , MD

Obstetrics & Gynecology

NPI 1366480667

Doctor of Medicine (M.D.)

Dr. Thomas Edward Davidson , MD

Obstetrics & Gynecology

NPI 1417064080

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2021

Registered Nurse (License #065494-21 in NH)

📍
Updated Practice Location September 14, 2021

Registered at 323 LOWELL ST, ANDOVER, MA 018104659 (Tel: 9784752731)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2021

Nurse Practitioner (License #RN2273331 in MA)

NPI Profile Active July 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2021

Registered at 1 ELLIOT WAY, MANCHESTER, NH 031033599 (Tel: 6036637520)

📍
Updated Business Mailing Address July 05, 2021

Registered at 25 SAWYER AVE, ATKINSON, NH 038112441 (Tel: 5084983855)

👤
Provider Name / Credentials Updated July 05, 2021

Recorded as JACQUELINE LANDRY, MSN, APRN, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2021

Registered Nurse (License #065494-21 in NH)

🟢
Initial NPI Registration & Enumeration July 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679144364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2021
Last Update: December 12, 2021
Sole Proprietor: No

Mailing Address

25 Sawyer Ave

Atkinson, NH 038112441

Phone: 5084983855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.