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

Active since March 17, 2011Opted out of Medicare · through Oct 1, 2026
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: August 09, 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 has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

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

ⓘ

Opted out of Medicare

Mrs. Larissa Ivanovna Run Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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?

No. Larissa Run has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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 22 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.