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ELIZABETH LARSON
NPI 1417331083
Nurse Practitioner - Gerontology in Fort Myers, FL

Active since July 14, 2015PECOS Enrolled
55.2/100
CMS Quality Rating
9025 POMELO RD W, FORT MYERS, FL 33967(239) 265-3391 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Larson NPPES

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

ELIZABETH LARSON (NPI 1417331083) is an individual gerontology provider in Fort Myers, Florida, licensed in Florida (ARNP9227059) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417331083
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameELIZABETH LARSON
Location Address9025 POMELO RD WFort Myers, FL 33967-3723
Mailing Address9025 Pomelo Rd WFort Myers, FL 33967-3723 · (239) 265-3391
Phone(239) 265-3391
Sole ProprietorYes
Enumeration DateJuly 14, 2015
✔ NPI 1417331083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · ARNP9227059
9025 POMELO RD W, Fort Myers, FL 33967
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Larson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33967 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

55.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality15.32
Promoting Interoperability100
Improvement Activities40
Cost18.68

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$102.96 avg. paid by Medicare
Manual wheelchair accessory, wheel braking system and lock, complete, each E2228
DME-Wheelchairs · category DD021N
1 supplier20 claims40 services$54.70 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier20 claims20 services$16.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MOBILE WOC, LLC
Nurse Practitioner (Adult Health)
9025 POMELO RD W
FORT MYERS, FL 33967
Lee County (239) 265-3391

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 Elizabeth Larson's NPI number?

The NPI number for Elizabeth Larson is 1417331083. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Elizabeth Larson located?

Elizabeth Larson practices at 9025 Pomelo Rd W, Fort Myers, FL 33967. The listed phone number is (239) 265-3391.

What is Elizabeth Larson's specialty?

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

Is Elizabeth Larson enrolled in Medicare?

Yes. Elizabeth Larson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Larson was last updated on July 14, 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.