LARISA ANNA SKILLMAN
NPI 1972216570
Nurse Practitioner - Family in Des Plaines, IL

Q: What is Larisa Skillman's NPI number?

The NPI number for Larisa Skillman is 1972216570. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Q: What is Larisa Skillman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Larisa Skillman was last updated on April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2022PECOS EnrolledAccepts Medicare Assignment

8901 GOLF RD STE 301, DES PLAINES, IL 60016(847) 318-9330(847) 723-9583 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Larisa Anna Skillman NPPES

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

LARISA ANNA SKILLMAN (NPI 1972216570) is an individual family provider in Des Plaines, Illinois, licensed in Illinois (209.025864) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972216570

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLARISA ANNA SKILLMAN

Location Address8901 GOLF RD STE 301Des Plaines, IL 60016-4029

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757

Phone(847) 318-9330

Fax(847) 723-9583

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 29, 2022

Last NPPES UpdateApril 19, 2023

NPPES CertifiedApril 19, 2023

✔ NPI 1972216570 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 IL · 209.025864

8901 GOLF RD STE 301, Des Plaines, IL 60016

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Secondary Practice Locations 2

Location 11435 N Randall Rd Ste 301Elgin, IL 60123-2304 · Phone (847) 841-7138

Location 287 N Airlite St Ste 130Elgin, IL 60123-4991 · Phone (847) 888-3661

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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 Anna Skillman 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 ID4385017813

PECOS Enrollment IDI20230303002342

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.

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60016 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 9

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

DR. MALCOLM MARAZBAN VANDREVALA M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)