LARISA LOPATKO
NPI 1710377148
Nurse Practitioner - Family in Tempe, AZ

Active since January 22, 2015Opted out of Medicare · through Dec 23, 2027
451 E UNIVERSITY DR, TEMPE, AZ 85281(480) 965-3346(480) 965-6531 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larisa Lopatko NPPES

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

LARISA LOPATKO (NPI 1710377148) is an individual family provider in Tempe, Arizona, licensed in Arizona (AP5701) and active in the NPI registry since January 2015. She has opted out of Medicare through December 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710377148
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLARISA LOPATKO
Location Address451 E UNIVERSITY DRTempe, AZ 85281-5391
Mailing AddressPo Box 872104Tempe, AZ 85287-2104 · (480) 884-1935 · Fax (480) 727-3065
Fax(480) 965-6531
Sole ProprietorNo
Enumeration DateJanuary 22, 2015
Last NPPES UpdateOctober 11, 2016
NPI 1710377148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP5701
451 E UNIVERSITY DR, Tempe, AZ 85281

Other Identifiers 1

Medicaid928722AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Larisa Lopatko has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 23, 2025 through December 23, 2027.

Opt-Out Effective DateDecember 23, 2025
Opt-Out In Effect ThroughDecember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85281 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

Nurse Practitioner (Family)
451 E UNIVERSITY DR
TEMPE, AZ 85281
Internal Medicine
451 E UNIVERSITY DR
TEMPE, AZ 85281
Pediatrics (Adolescent Medicine)
451 E UNIVERSITY DR
TEMPE, AZ 85281
Nurse Practitioner (Adult Health)
451 E UNIVERSITY DR
TEMPE, AZ 85281
Family Medicine
451 E UNIVERSITY DR
TEMPE, AZ 85281
Internal Medicine
451 E UNIVERSITY DR
TEMPE, AZ 85281
Internal Medicine
451 E UNIVERSITY DR
TEMPE, AZ 85281
Pharmacist
451 E UNIVERSITY DR
TEMPE, AZ 85281

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 Lopatko's NPI number?

The NPI number for Larisa Lopatko is 1710377148. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Larisa Lopatko located?

Larisa Lopatko practices at 451 E University Dr, Tempe, AZ 85281. The listed phone number is (480) 965-3346.

What is Larisa Lopatko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Larisa Lopatko enrolled in Medicare?

No. Larisa Lopatko has opted out of Medicare through December 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Larisa Lopatko was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.