LARISSA ANN JACKLINE CRNP
NPI 1316327265
Nurse Practitioner - Family in Pittsburgh, PA
About Larissa Ann Jackline Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARISSA ANN JACKLINE CRNP (NPI 1316327265) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP014869) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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 Ann Jackline Crnp 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackline's NPI number?
The NPI number for Larissa Jackline is 1316327265. It was assigned to this individual provider in the NPPES registry on June 5, 2015.
Where is Larissa Jackline located?
Larissa Jackline practices at 2000 Mary St Suite 2500, Pittsburgh, PA 15203. The listed phone number is (412) 488-5705.
What is Larissa Jackline's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Larissa Jackline enrolled in Medicare?
Yes. Larissa Jackline is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Larissa Jackline was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 Ann Jackline, CRNP · NPI 1316327265
Family physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 5, 2015.
## Identity
- **NPI:** 1316327265 (Entity type: Individual)
- **Enumerated:** June 5, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP014869 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 MARY ST, SUITE 2500, Pittsburgh, PA 15203-2054
- **Phone:** (412) 488-5705 · **Fax:** (412) 488-5206
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 5, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1316327265) · Data from the CMS NPPES public registry.