LARISSA JEROMINOW
NPI 1285284992
Nurse Practitioner - Gerontology in Brooklyn, NY

Q: What is Larissa Jerominow's NPI number?

The NPI number for Larissa Jerominow is 1285284992. It was assigned to this individual provider in the NPPES registry on September 14, 2019.

Q: What is Larissa Jerominow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Jerominow was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 14, 2019PECOS EnrolledAccepts Medicare Assignment

3611 14TH AVE STE 550, BROOKLYN, NY 11218(718) 819-6144(718) 819-6145 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 17, 2025, Apr 7, 2025, Jul 31, 2024 and 4 more (7 updates tracked since 2019).

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About Larissa Jerominow NPPES

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

LARISSA JEROMINOW (NPI 1285284992) is an individual gerontology provider in Brooklyn, New York, licensed in New York (F309311-01) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285284992

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameLARISSA JEROMINOW

Location Address3611 14TH AVE STE 550Brooklyn, NY 11218-3773

Mailing Address926 Main StNashville, TN 37206-3614 · (615) 436-9060 · Fax (615) 235-9725

Phone(718) 819-6144

Fax(718) 819-6145

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 14, 2019

Last NPPES UpdateJune 11, 20267 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1285284992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NY · F309311-01

Also ListedNurse PractitionerTaxonomy 363L00000X · License F30911-01 (NY)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN11026210 (FL)

3611 14TH AVE STE 550, Brooklyn, NY 11218

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Secondary Practice Locations 3

Location 1391 E 149th St Ste 403Bronx, NY 10455-3907 · Phone (718) 819-6144 · Fax (718) 819-6145

Location 2926 Main StNashville, TN 37206-3614 · Phone (615) 436-9060 · Fax (615) 235-9725

Location 315310 Amberly Dr # 66Tampa Palms, FL 33647-2199 · Phone (718) 819-6144 · Fax (718) 819-6145

Other Identifiers 2

Medicaid06209916NY

Other1205559812Nurse Practitioner-adult Gerontology

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 Jerominow 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 ID5991116360

PECOS Enrollment IDI20201117000628, I20260529003594

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,275 services172 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11218 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 15

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

MS. TERRI PARKIN RN, MS, FNP

Nurse Practitioner (Family)