JENNIFER LARSON FNP
NPI 1912512856
Nurse Practitioner - Family in Daleville, VA

Active since September 08, 2020PECOS EnrolledAccepts Medicare Assignment
1454 ROANOKE RD, DALEVILLE, VA 24083(540) 992-3600(540) 992-5570 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 22, 2025, Aug 23, 2023, Sep 8, 2020 (3 updates tracked since 2020).

About Jennifer Larson Fnp NPPES

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

JENNIFER LARSON FNP (NPI 1912512856) is an individual family provider in Daleville, Virginia, licensed in Virginia (0024180022) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roanoke, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912512856
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LARSONCredential: FNP
Location Address1454 ROANOKE RDDaleville, VA 24083-2935
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Fax(540) 992-5570
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 8, 2020
Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
NPI 1912512856 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 VA · 0024180022
1454 ROANOKE RD, Daleville, VA 24083

Secondary Practice Location 1

Location 14035 Electric Rd Ste ARoanoke, VA 24018-8449 · Phone (540) 772-8670 · Fax (540) 772-7901

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

Jennifer Larson Fnp 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 ID3476049883
PECOS Enrollment IDI20260106000317
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 24083 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 4

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

Family Medicine
1454 ROANOKE RD
DALEVILLE, VA 24083
Family Medicine
1454 ROANOKE RD
DALEVILLE, VA 24083
Clinic/Center (Medical Specialty)
1454 ROANOKE RD
DALEVILLE, VA 24083
Nurse Practitioner (Acute Care)
1454 ROANOKE RD
DALEVILLE, VA 24083

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912512856, enumerated as an "individual" on September 08, 2020.

The provider is located at 1454 ROANOKE RD DALEVILLE, VA 24083 and the phone number is (540) 992-3600.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.