LARA BETH WAHLBERG DNP
NPI 1881070092
Nurse Practitioner - Primary Care in New York, NY
About Lara Beth Wahlberg Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARA BETH WAHLBERG DNP (NPI 1881070092) is an individual primary care provider in New York, New York, licensed in New York (F307409-1) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lara Beth Wahlberg Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lara Wahlberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 51 clinicians in this Medicare group
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 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Lara Wahlberg's NPI number?
The NPI number for Lara Wahlberg is 1881070092. It was assigned to this individual provider in the NPPES registry on August 11, 2015.
Where is Lara Wahlberg located?
Lara Wahlberg practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-5278.
What is Lara Wahlberg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Lara Wahlberg enrolled in Medicare?
Yes. Lara Wahlberg is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lara Wahlberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lara Wahlberg reassigns Medicare benefits to Weill Medical College Of Cornell (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lara Wahlberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lara Wahlberg was last updated on August 11, 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.
# Lara Beth Wahlberg, DNP · NPI 1881070092
Primary Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 11, 2015.
## Identity
- **NPI:** 1881070092 (Entity type: Individual)
- **Enumerated:** August 11, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** F307409-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 462 1ST AVE, New York, NY 10016-9196
- **Phone:** (212) 562-5278
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Weill Medical College Of Cornell (NPI 1831100882, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1881070092) · Data from the CMS NPPES public registry.