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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: October 25, 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
Phone(540) 992-3600
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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Healthcare Corporation
9.4 mi
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
NPI 1447206370 (540) 224-5452
Carilion Emergency Services, Inc.
11 mi
Urgent Care
1906 BELLEVIEW AVE SE, DEPT OF EMERGENCY MEDICINE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 138 clinicians in this Medicare group
NPI 1255602694 (540) 266-6800

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 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.

OPTIMAL FUNCTION AND WELLNESS, PLLC
Clinic/Center (Medical Specialty)
1454 ROANOKE RD
DALEVILLE, VA 24083
Botetourt County (540) 312-3981
LAWSON FAMILY MEDICINE AND AESTHETICS LLC
Family Medicine
1454 ROANOKE RD
DALEVILLE, VA 24083
Botetourt County (540) 992-3600
MRS. SHERRY MICHELLE BOONE ACNPC
Nurse Practitioner (Acute Care)
1454 ROANOKE RD
DALEVILLE, VA 24083
Botetourt County (540) 312-3981
SUNSHINE DOCTORS
Family Medicine
1454 ROANOKE RD
DALEVILLE, VA 24083
Botetourt County (540) 992-3600

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 Jennifer Larson's NPI number?

The NPI number for Jennifer Larson is 1912512856. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Jennifer Larson located?

Jennifer Larson practices at 1454 Roanoke Rd, Daleville, VA 24083. The listed phone number is (540) 992-3600.

What is Jennifer Larson's specialty?

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

Is Jennifer Larson enrolled in Medicare?

Yes. Jennifer Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Larson reassigns Medicare benefits to 2 organizations: Carilion Healthcare Corporation (Roanoke, VA) and Carilion Emergency Services, Inc. (Roanoke, VA). Each 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 Jennifer Larson'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 Jennifer Larson was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.