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MRS. LARISSA IVANOVNA RUN PA-C
NPI 1225337132
Physician Assistant in Las Vegas, NV

Active since March 17, 2011PECOS Enrolled
9701 WEST FLAMINGO RD, #4, LAS VEGAS, NV 89147(702) 240-3929(702) 240-4203 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 10, 2024, Feb 8, 2022 (2 updates tracked since 2022).

About Mrs. Larissa Ivanovna Run Pa-c NPPES

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

MRS. LARISSA IVANOVNA RUN PA-C (NPI 1225337132) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA1268) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225337132
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LARISSA IVANOVNA RUNCredential: PA-C
Location Address9701 WEST FLAMINGO RD, #4Las Vegas, NV 89147
Mailing Address9701 West Flamingo Rd, #4Las Vegas, NV 89147 · (702) 240-3929 · Fax (702) 240-4203
Phone(702) 240-3929
Fax(702) 240-4203
Sole ProprietorYes
Enumeration DateMarch 17, 2011
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1225337132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA1268
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialistTaxonomy 174400000X · License PA1268 (NV)
9701 WEST FLAMINGO RD, Las Vegas, NV 89147
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Other Names 1

Former Name (1)Mrs. Larissa Ivanovna Run Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Larissa Ivanovna Run Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 89147 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Run's NPI number?

The NPI number for Larissa Run is 1225337132. It was assigned to this individual provider in the NPPES registry on March 17, 2011. The provider is also known as Mrs. Larissa Ivanovna Run Pa-C.

Where is Larissa Run located?

Larissa Run practices at 9701 West Flamingo Rd #4, Las Vegas, NV 89147. The listed phone number is (702) 240-3929.

What is Larissa Run's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Larissa Run enrolled in Medicare?

Yes. Larissa Run is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larissa Run was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.