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LARISA ANATOLYEVNA DYAKOVA FNP
NPI 1912604539
Nurse Practitioner - Acute Care in Artesia, NM

Active since February 14, 2023PECOS EnrolledAccepts Medicare Assignment
702 N 13TH ST, ARTESIA, NM 88210(575) 748-3333(575) 736-8139 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2024, Sep 16, 2024, Feb 14, 2023 (3 updates tracked since 2023).

About Larisa Anatolyevna Dyakova Fnp NPPES

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

LARISA ANATOLYEVNA DYAKOVA FNP (NPI 1912604539) is an individual acute care provider in Artesia, New Mexico, licensed in New Mexico (79627) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Artesia General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912604539
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLARISA ANATOLYEVNA DYAKOVACredential: FNP
Location Address702 N 13TH STArtesia, NM 88210-1199
Mailing Address111 S Memorial DrLancaster, OH 43130-4361 · (740) 655-2631
Phone(575) 748-3333
Fax(575) 736-8139
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 14, 2023
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1912604539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NM · 79627
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0032705 (OH)
702 N 13TH ST, Artesia, NM 88210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Larisa Anatolyevna Dyakova 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 ID9638617707
PECOS Enrollment IDI20240820003727
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Artesia General Hospital

Acute Care Hospitals · Artesia, NM
OwnershipVoluntary non-profit - Other
CMS Certification Number320030
Location702 N 13th StreetArtesia, NM 88210 · Eddy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88210 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

RUTH HONEY COVIN-WEEKS PMHCNS-BC
Clinical Nurse Specialist (Psychiatric/Mental Health)
702 N 13TH ST
ARTESIA, NM 88210
Eddy County (575) 748-3333
ARTESIA GENERAL HOSPITAL
Medicare Defined Swing Bed Unit
702 N 13TH ST
ARTESIA, NM 88210
Eddy County (505) 736-8112
MATTHEW EMERSON KAISER PA-C
Physician Assistant (Medical)
702 N 13TH ST
ARTESIA, NM 88210
Eddy County (575) 746-3119
JOHN CASTLE PA-C
Physician Assistant
702 N 13TH ST
ARTESIA, NM 88210
Eddy County (575) 746-3119
BULLDOG EMERGENCY PHYSICIANS
Emergency Medicine
702 N 13TH ST, EMERGENCY DEPARTMENT
ARTESIA, NM 88210
Eddy County (800) 444-7009
LUTHER BASEL WEATHERS III MD
Internal Medicine (Cardiovascular Disease)
702 N 13TH ST
ARTESIA, NM 88210
Eddy County (575) 748-3333
YORDAN ORIVE GOMEZ MD
Internal Medicine
702 N 13TH ST
ARTESIA, NM 88210
Eddy County (575) 748-3333
DR. TUANGRATCH CHOW
Podiatrist (Foot & Ankle Surgery)
702 N 13TH ST
ARTESIA, NM 88210
Eddy County (575) 748-3333

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 Larisa Dyakova's NPI number?

The NPI number for Larisa Dyakova is 1912604539. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Where is Larisa Dyakova located?

Larisa Dyakova practices at 702 N 13th St, Artesia, NM 88210. The listed phone number is (575) 748-3333.

What is Larisa Dyakova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Larisa Dyakova enrolled in Medicare?

Yes. Larisa Dyakova 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.

What insurance does Larisa Dyakova accept?

Health plans from CareSource list Larisa Dyakova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Larisa Dyakova affiliated with any hospitals?

According to CMS data, Larisa Dyakova is affiliated with Artesia General Hospital.

When was this NPI record last updated?

The NPPES record for Larisa Dyakova was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.