LARISSA RENEE BANNON
NPI 1174200851
Audiologist in Allentown, PA
About Larissa Renee Bannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARISSA RENEE BANNON (NPI 1174200851) is an individual audiologist in Allentown, Pennsylvania, licensed in Pennsylvania (AT007075) and active in the NPI registry since July 2023. She maintains 2 additional practice locations and is a graduate of Vanderbilt University School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Larissa Renee Bannon 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.
Medicare Billing Reassignments
2Medicare enrollment records show Larissa Bannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Allentown, PA 18104
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Nashville, TN 37232
- Reassigned Medicare billing, Tennessee enrollment
- 4,711 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALLENTOWN, PA 18104
ALLENTOWN, PA 18104
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 Bannon's NPI number?
The NPI number for Larissa Bannon is 1174200851. It was assigned to this individual provider in the NPPES registry on July 3, 2023.
Where is Larissa Bannon located?
Larissa Bannon practices at 1575 Pond Rd Ste 203, Allentown, PA 18104. The listed phone number is (610) 366-1366.
What is Larissa Bannon's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Larissa Bannon enrolled in Medicare?
Yes. Larissa Bannon 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.
Which organizations bill Medicare for Larissa Bannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Bannon reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Allentown, PA) and Vanderbilt University Medical Center (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Larissa Bannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larissa Bannon accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Larissa Bannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Larissa Bannon was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Larissa Renee Bannon · NPI 1174200851
Audiologist provider in Allentown, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 3, 2023.
## Identity
- **NPI:** 1174200851 (Entity type: Individual)
- **Enumerated:** July 3, 2023
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** AT007075 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1575 POND RD STE 203, Allentown, PA 18104-2254
- **Phone:** (610) 366-1366
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1609010297, Allentown, PA); Vanderbilt University Medical Center (NPI 1104202761, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** December 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174200851) · Data from the CMS NPPES public registry.