LARISA G BASA
NPI 1336884493
Nurse Practitioner - Family in Park Ridge, IL
About Larisa G Basa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARISA G BASA (NPI 1336884493) is an individual family provider in Park Ridge, Illinois, licensed in Illinois (209.024855) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Larisa G Basa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Larisa Basa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 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 60068 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 Larisa Basa's NPI number?
The NPI number for Larisa Basa is 1336884493. It was assigned to this individual provider in the NPPES registry on May 3, 2022.
Where is Larisa Basa located?
Larisa Basa practices at 1675 W Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-9470.
What is Larisa Basa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Larisa Basa enrolled in Medicare?
Yes. Larisa Basa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Larisa Basa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larisa Basa reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). 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 Larisa Basa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Larisa Basa was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Larisa G Basa · NPI 1336884493
Family physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since May 3, 2022.
## Identity
- **NPI:** 1336884493 (Entity type: Individual)
- **Enumerated:** May 3, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.024855 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1675 W DEMPSTER ST, Park Ridge, IL 60068-1110
- **Phone:** (847) 723-9470
## 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:** Lutheran General Hospital (NPI 1801809306, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336884493) · Data from the CMS NPPES public registry.