LARISSA ANN WERTALIK DO
NPI 1295267458
Pediatrics in Elizabeth City, NC

Active since March 28, 2017PECOS Enrolled
1141 N ROAD ST STE M, SENTARA PEDIATRIC PHYSICIANS, ELIZABETH CITY, NC 27909(252) 384-2590(252) 384-2589 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2024, Aug 13, 2024, Feb 4, 2022 and 2 more (5 updates tracked since 2017).

About Larissa Ann Wertalik Do NPPES

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

LARISSA ANN WERTALIK DO (NPI 1295267458) is an individual pediatrics provider in Elizabeth City, North Carolina, licensed in Ohio (34.015369) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295267458
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLARISSA ANN WERTALIKCredential: DO
Location Address1141 N ROAD ST STE M, SENTARA PEDIATRIC PHYSICIANSElizabeth City, NC 27909
Mailing Address9500 Euclid AveCleveland, OH 44195-0001 · (216) 444-5037
Fax(252) 384-2589
Sole ProprietorNo
Enumeration DateMarch 28, 2017
Last NPPES UpdateAugust 20, 20245 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1295267458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OH · 34.015369✔ Licensed in NY · 305439
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1141 N ROAD ST STE M, Elizabeth City, NC 27909

Secondary Practice Locations 2

Location 147 New Scotland Ave, Department of PediatricsAlbany, NY 12208 · Phone (518) 262-6248
Location 29500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-5037

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 Ann Wertalik Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Larissa Wertalik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
1177 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 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 27909 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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

Nurse Practitioner (Family)
1141 N ROAD ST STE M
ELIZABETH CITY, NC 27909
Pediatrics
1141 N ROAD ST STE M
ELIZABETH CITY, NC 27909

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 Wertalik's NPI number?

The NPI number for Larissa Wertalik is 1295267458. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Larissa Wertalik located?

Larissa Wertalik practices at 1141 N Road St Ste M Sentara Pediatric Physicians, Elizabeth City, NC 27909. The listed phone number is (252) 384-2590.

What is Larissa Wertalik's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Larissa Wertalik enrolled in Medicare?

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

Which organization bills Medicare for Larissa Wertalik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Wertalik reassigns Medicare benefits to Albemarle Physician Services - Sentara, Inc (Elizabeth City, NC). The 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 Wertalik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larissa Wertalik accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Larissa Wertalik 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 Wertalik was last updated on August 20, 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.