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LARISA IACOBAN
NPI 1912660929
Physician Assistant in Clinton Township, MI

Active since October 17, 2021PECOS Enrolled
43361 COMMONS DR, CLINTON TOWNSHIP, MI 48038(586) 745-3006 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2024, Oct 17, 2021 (2 updates tracked since 2021).

About Larisa Iacoban NPPES

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

LARISA IACOBAN (NPI 1912660929) is an individual physician assistant in Clinton Township, Michigan, licensed in Michigan (5601011348) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912660929
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLARISA IACOBAN
Location Address43361 COMMONS DRClinton Township, MI 48038-1109
Mailing Address43361 Commons DrClinton Township, MI 48038-1109 · (586) 745-3006
Phone(586) 745-3006
Sole ProprietorNo
Enumeration DateOctober 17, 2021
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1912660929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601011348
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
43361 COMMONS DR, Clinton Township, MI 48038
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larisa Iacoban 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 19

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

EMILY BEGIAN FNP-C
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 745-3006
DR. EVA SAHA M.D.
Internal Medicine (Nephrology)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-7190
JAN MEDICAL GROUP PLLC
Family Medicine
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 690-7994
LYNNETTE MARIE ZIGO NP
Nurse Practitioner (Adult Health)
43361 COMMONS DR
CLINTON TWP, MI 48038
Macomb County (586) 286-2620
LIGIA MARTINESCUL CNP
Nurse Practitioner
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 745-3006
MELISSA SINISHTAJ
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TWP, MI 48038
Macomb County (586) 745-3006
SIMONA CRKOVSKI FNP
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 745-3006
MOHAMMADREZA KAHNAMOUEI MD
Family Medicine (Adult Medicine)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 745-3006

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 Iacoban's NPI number?

The NPI number for Larisa Iacoban is 1912660929. It was assigned to this individual provider in the NPPES registry on October 17, 2021.

Where is Larisa Iacoban located?

Larisa Iacoban practices at 43361 Commons Dr, Clinton Township, MI 48038. The listed phone number is (586) 745-3006.

What is Larisa Iacoban's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Larisa Iacoban enrolled in Medicare?

Yes. Larisa Iacoban is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larisa Iacoban was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.