LARISSA KATHLEEN FRAUENHEIM APRN
NPI 1760030050
Nurse Practitioner - Family in Valdosta, GA

Q: What is Larissa Frauenheim's NPI number?

The NPI number for Larissa Frauenheim is 1760030050. It was assigned to this individual provider in the NPPES registry on August 29, 2019. The provider is also known as Larissa Kathleen Brettell.

Q: What is Larissa Frauenheim's specialty?

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

Active since August 29, 2019PECOS Enrolled

2501 N PATTERSON ST, VALDOSTA, GA 31602(229) 443-1000 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Larissa Kathleen Frauenheim Aprn NPPES

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

LARISSA KATHLEEN FRAUENHEIM APRN (NPI 1760030050) is an individual family provider in Valdosta, Georgia, licensed in Florida (RN9336400) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760030050

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLARISSA KATHLEEN FRAUENHEIMCredential: APRN

Location Address2501 N PATTERSON STValdosta, GA 31602-1785

Mailing Address2036 Sea Hawk CirPonte Vedra Beach, FL 32082-1679

Phone(229) 443-1000

Sole ProprietorNo

Enumeration DateAugust 29, 2019

✔ NPI 1760030050 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

Licenses✔ Licensed in FL · RN9336400✔ Licensed in GA · RN287176

2501 N PATTERSON ST, Valdosta, GA 31602

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Other Names 1

Former Name (1)Larissa Kathleen Brettell

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larissa Kathleen Frauenheim Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Larissa Frauenheim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Physicians Inc

104 mi

Emergency Medicine

800 PRUDENTIAL DR
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
428 clinicians in this Medicare group

NPI 1285686675 (904) 396-5682

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 31602 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

JOHN STEPHEN DODD NP

Nurse Practitioner (Acute Care)