ELLEN L LARUSSO (APRN) – Family Nurse Practitioner, NPI 1427263383

ELLEN L LARUSSO (APRN) is a healthcare provider. based in Daytona beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. F335300-1 (NY). The NPI Number for ELLEN L LARUSSO (APRN) is 1427263383

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN L LARUSSO (APRN)
NPI
1427263383
Phone
(386) 231-3615
Address
301 MEMORIAL MEDICAL PKWY
Enumeration Date
14 May 2007
Last Update Date
20 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043301024
Graduation Year
2007 (19 years ago)
PAC ID
5799861183
Group Practice PAC ID
7416280425
Professional Enrollment ID
I20181127001636
Address ID
FL322166286JA6817XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for ELLEN L LARUSSO (APRN)

  • Florida Hospital Memorial Medical Center, 301, Memorial Medical Parkway, Daytona Beach, Volusia County, Florida, 32117, United States

    DAYTONA BEACH, FL 321175167

    Phone: (386) 231-3615

    Fax: (386) 231-3614

    Type: Location

  • 736 Irving Avenue

    Syracuse, NY 13210

    Phone: (315) 410-7111

    Type: Location

  • 1540 Sunday Dr

    Raleigh, NC 276076010

    Phone: (919) 782-3456

    Fax: (919) 783-1441

    Type: Location

  • Belfort Road, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322566017

    Phone: (904) 446-3424

    Fax: (904) 443-3369

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-04-17 • Largest payer in this snapshot: PFIZER INC. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$28
View all Open Payments →|Open Payments Risk Radar →

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: 2018-11-27

PECOS data refreshed: 2026-05-27

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
I20181127001636INurse PractitionerFLTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes667103$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7461$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes3426$0
View full utilization report →

Insurance plans in this area (ZIP 32117)

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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: 7416280425View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What number should I use to identify ELLEN L LARUSSO (APRN) for billing?
Administrative and clinical systems typically use NPI 1427263383 for ELLEN L LARUSSO (APRN).
Does the public listing show ELLEN L LARUSSO (APRN) as active?
ELLEN L LARUSSO (APRN)'s NPI record reflects an active status in NPPES.
What does the directory say ELLEN L LARUSSO (APRN) does?
Insurance directories may phrase it differently, but here ELLEN L LARUSSO (APRN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to ELLEN L LARUSSO (APRN)?
ELLEN L LARUSSO (APRN) shows a connection to Daytona Beach, Florida in registry-derived data.
Can I export ELLEN L LARUSSO (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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