DANIELLE LARSEN NP
NPI 1457004962
Nurse Practitioner in Shorewood, IL

Q: What is Danielle Larsen's NPI number?

The NPI number for Danielle Larsen is 1457004962. It was assigned to this individual provider in the NPPES registry on February 3, 2022.

Q: What is Danielle Larsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Larsen was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 03, 2022PECOS EnrolledAccepts Medicare Assignment

1039 BROOKFOREST AVE, SHOREWOOD, IL 60404(815) 733-5952(815) 280-0797 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Danielle Larsen Np NPPES

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

DANIELLE LARSEN NP (NPI 1457004962) is an individual nurse practitioner in Shorewood, Illinois, licensed in Illinois (209024406) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457004962

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDANIELLE LARSENCredential: NP

Location Address1039 BROOKFOREST AVEShorewood, IL 60404-8849

Mailing Address1039 Brookforest AveShorewood, IL 60404-8849 · (815) 733-5952 · Fax (815) 280-0797

Phone(815) 733-5952

Fax(815) 280-0797

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 3, 2022

NPPES CertifiedFebruary 3, 2022

✔ NPI 1457004962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209024406

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1039 BROOKFOREST AVE, Shorewood, IL 60404

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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 and accepts Medicare assignment

Danielle Larsen Np 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 ID1254728314

PECOS Enrollment IDI20220420002348

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 60404 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 8

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

JENNIFER YANAK NP

Nurse Practitioner