LARISSA N BOTCHARNIKOVA NP
NPI 1720122054
Nurse Practitioner in Redding, CA

Q: What is Larissa Botcharnikova's NPI number?

The NPI number for Larissa Botcharnikova is 1720122054. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Q: What is Larissa Botcharnikova's specialty?

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

Active since February 19, 2007PECOS Enrolled

1035 PLACER ST, REDDING, CA 96001(530) 246-5710(530) 241-7838 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Larissa N Botcharnikova Np NPPES

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

LARISSA N BOTCHARNIKOVA NP (NPI 1720122054) is an individual nurse practitioner in Redding, California, licensed in California (NP17636) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720122054

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLARISSA N BOTCHARNIKOVACredential: NP

Location Address1035 PLACER STRedding, CA 96001-1125

Mailing AddressPo Box 992790Redding, CA 96099-2790 · (530) 246-5710 · Fax (530) 241-7838

Phone(530) 246-5710

Fax(530) 241-7838

Sole ProprietorNo

Enumeration DateFebruary 19, 2007

Last NPPES UpdateMay 17, 2012

✔ NPI 1720122054 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 CA · NP17636

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.

1035 PLACER ST, Redding, CA 96001

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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)

Larissa N Botcharnikova Np 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 96001 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers31 claims71 services$4.51 avg. paid by Medicare

Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) A4595

DME-Other DME · category DE000N

1 supplier11 claims22 services$12.52 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers11 claims66 services$2.43 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier17 claims17 services$1.22 avg. paid by Medicare

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

4 suppliers122 claims122 services$78.55 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers49 claims49 services$30.71 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 20

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

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