LARISSA ROSE O'KEEFE FNP-BC
NPI 1053191163
Nurse Practitioner - Primary Care in Columbia, MO

Active since October 05, 2023PECOS EnrolledAccepts Medicare Assignment
200 CORPORATE LAKE DR, COLUMBIA, MO 65203(573) 814-1170 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larissa Rose O'keefe Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISSA ROSE O'KEEFE FNP-BC (NPI 1053191163) is an individual primary care provider in Columbia, Missouri, licensed in Missouri (2023040439) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053191163
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLARISSA ROSE O'KEEFECredential: FNP-BC
Location Address200 CORPORATE LAKE DRColumbia, MO 65203-7172
Mailing Address4823 Loyalist LnAshland, MO 65010-9418 · (573) 301-2532
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 5, 2023
NPPES CertifiedSeptember 7, 2023
NPI 1053191163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MO · 2023040439
200 CORPORATE LAKE DR, Columbia, MO 65203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Larissa Rose O'keefe Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183157548
PECOS Enrollment IDI20241024001595
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
200 CORPORATE LAKE DR
COLUMBIA, MO 65203
Clinic/Center
200 CORPORATE LAKE DR
COLUMBIA, MO 65203
Clinic/Center (Primary Care)
200 CORPORATE LAKE DR
COLUMBIA, MO 65203
Family Medicine
200 CORPORATE LAKE DR
COLUMBIA, MO 65203
Nurse Practitioner (Family)
200 CORPORATE LAKE DR
COLUMBIA, MO 65203
Pediatrics
200 CORPORATE LAKE DR
COLUMBIA, MO 65203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larissa O'keefe's NPI number?

The NPI number for Larissa O'keefe is 1053191163. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Larissa O'keefe located?

Larissa O'keefe practices at 200 Corporate Lake Dr, Columbia, MO 65203. The listed phone number is (573) 814-1170.

What is Larissa O'keefe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Larissa O'keefe enrolled in Medicare?

Yes. Larissa O'keefe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Larissa O'keefe was last updated on October 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.