LARISSA KANEESHA PETERSON
NPI 1225506397
Nurse Practitioner - Family in Los Angeles, CA
About Larissa Kaneesha Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARISSA KANEESHA PETERSON (NPI 1225506397) is an individual family provider in Los Angeles, California, licensed in California (95014921) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Larissa Kaneesha Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Larissa Peterson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chico, CA 95928
- Reassigned Medicare billing, California enrollment
- 205 clinicians in this Medicare group
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Stafford, VA 22554
- Reassigned Medicare billing, Virginia enrollment
- 8 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 90035 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90035
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 Peterson's NPI number?
The NPI number for Larissa Peterson is 1225506397. It was assigned to this individual provider in the NPPES registry on November 7, 2018.
Where is Larissa Peterson located?
Larissa Peterson practices at 1180 S Beverly Dr Ste 700, Los Angeles, CA 90035. The listed phone number is (424) 334-6288.
What is Larissa Peterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Larissa Peterson enrolled in Medicare?
Yes. Larissa Peterson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Larissa Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Peterson reassigns Medicare benefits to 3 organizations: Enloe Medical Center (Chico, CA), Emergency Medicine Associates P.A., P.C. (Culpeper, VA) and Stafford Urgent Care, Inc. (Stafford, VA). 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 Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larissa Peterson accept?
Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Larissa Peterson 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 Peterson was last updated on May 8, 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.
# Larissa Kaneesha Peterson · NPI 1225506397
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 7, 2018.
## Identity
- **NPI:** 1225506397 (Entity type: Individual)
- **Enumerated:** November 7, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95014921 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1180 S BEVERLY DR STE 700, Los Angeles, CA 90035-1151
- **Phone:** (424) 334-6288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Enloe Medical Center (NPI 1255812780, Chico, CA); Emergency Medicine Associates P.A., P.C. (NPI 1881559102, Culpeper, VA); Stafford Urgent Care, Inc. (NPI 1477582773, Stafford, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225506397) · Data from the CMS NPPES public registry.