KUYANN LARISSA THURSTON (NP) – Nurse Practitioner, NPI 1093455388

KUYANN LARISSA THURSTON (NP) is a healthcare provider. based in Los angeles, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95020545 (CA). The NPI Number for KUYANN LARISSA THURSTON (NP) is 1093455388

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KUYANN LARISSA THURSTON (NP)
NPI
1093455388
Phone
(678) 600-5951
Address
6201 HOLLYWOOD BLVD UNIT 1510
Enumeration Date
1 April 2022
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3107214395
Graduation Year
2019 (7 years ago)
PAC ID
1850748203
Group Practice PAC ID
4385980358
Professional Enrollment ID
I20231107003157
Address ID
CA912042508GL1420XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for KUYANN LARISSA THURSTON (NP)

  • 6201 HOLLYWOOD BLVD UNIT 1510

    LOS ANGELES, CA 900285373

    Phone: (678) 600-5951

    Type: Mailing

  • 4055 LANKERSHIM BLVD APT 334

    STUDIO CITY, CA 916043435

    Phone: (678) 600-5951

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231107003157INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes497160$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes4848$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2121$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 90028)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385980358View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationCA
Nurse PractitionerCA
Physical Medicine And RehabilitationCA
Physical Medicine And RehabilitationCA
Physician AssistantMA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineRI
Nurse PractitionerCA
Physician AssistantCA

Reviews

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Frequently asked questions

Is KUYANN LARISSA THURSTON (NP) listed with a National Provider Identifier?
Yes — KUYANN LARISSA THURSTON (NP) has NPI 1093455388 on file in the registry.
Is there an active status for KUYANN LARISSA THURSTON (NP)?
For scheduling context, KUYANN LARISSA THURSTON (NP) is shown as active in the registry.
How would a patient describe KUYANN LARISSA THURSTON (NP)'s focus?
For KUYANN LARISSA THURSTON (NP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KUYANN LARISSA THURSTON (NP) associated with Los Angeles?
Public fields place KUYANN LARISSA THURSTON (NP) around Los Angeles, California. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KUYANN LARISSA THURSTON (NP) is noted as April 1, 2022 where the registry provides it.

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