Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer A. Landry, PA-C

Individual provider Physician Assistant · NPI 1790740835

Jennifer A. Landry, PA-C is a Physician Assistant in Portland, Maine. Qualified in 1995, 31 years ago. Practices with Intermed PA, a 185-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
31
Licensed in
ME
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

84 Marginal Way Ste 700
Portland, ME 04101
Phone: (207) 774-5816
Fax: (207) 523-8597
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA177 (ME)

Record details

NPI number1790740835
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Intermed Pa — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Portland