AMANDA R LARREA RD
NPI 1952024952
Dietitian, Registered in Crown Point, IN

Q: What is Amanda Larrea's NPI number?

The NPI number for Amanda Larrea is 1952024952. It was assigned to this individual provider in the NPPES registry on September 23, 2022. The provider is also known as Amanda R Severson Rd.

Q: What is Amanda Larrea's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Larrea was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 23, 2022Accepts Medicare Assignment

10855 VIRGINIA ST, CROWN POINT, IN 46307(219) 407-5500 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2026, Aug 12, 2024, Jul 13, 2023 and 2 more (5 updates tracked since 2022).

On this page

About Amanda R Larrea Rd NPPES

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

AMANDA R LARREA RD (NPI 1952024952) is an individual dietitian, registered in Crown Point, Indiana, licensed in Illinois (164-009042) and active in the NPI registry since September 2022. She maintains a secondary practice location in Chicago and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952024952

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameAMANDA R LARREACredential: RD

Location Address10855 VIRGINIA STCrown Point, IN 46307-0210

Mailing Address10855 Virginia StCrown Point, IN 46307-0210 · (219) 407-5500

Phone(219) 407-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 23, 2022

Last NPPES UpdateFebruary 6, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1952024952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in IL · 164-009042✔ Licensed in IN · 37004442A

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

10855 VIRGINIA ST, Crown Point, IN 46307

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Other Names 1

Former Name (1)Amanda R Severson Rd

Secondary Practice Location 1

Location 15841 S Maryland AveChicago, IL 60637-1443 · Phone (888) 824-0200

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

Amanda R Larrea Rd 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 ID2062883408

PECOS Enrollment IDI20230124000337, I20260401002186

Medicare Billing Reassignments

Medicare enrollment records show Amanda Larrea reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center

29 mi

General Acute Care Hospital

5841 S MARYLAND AVE
Chicago, IL 60637

Reassigned Medicare billing, Illinois enrollment
1,905 clinicians in this Medicare group

NPI 1033218128 (773) 702-1530

University Of Chicago

29 mi

Multi-Specialty

5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637

Reassigned Medicare billing, Illinois and Indiana enrollments
2,237 clinicians in this Medicare group

NPI 1821048786 (773) 702-9200

Dupage Medical Group Ltd

46 mi

Multi-Specialty

1100 W 31ST ST, STE 300
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
12 clinicians in this Medicare group

NPI 1801833983 (630) 469-9200

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 46307 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

$0.00 typical visit price

range $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 13

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

MRS. KELLY STRAZZANTE RD, PA-C

Physician Assistant