LARISSA MANN (AU.D.) – Audiologist, NPI 1508170473

LARISSA MANN (AU.D.) is a healthcare provider. based in Nampa, Idaho. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. AUD 2109 (ID). The NPI Number for LARISSA MANN (AU.D.) is 1508170473

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LARISSA MANN (AU.D.)
NPI
1508170473
Phone
(208) 489-5950
Address
172 2ND ST S
Enumeration Date
3 August 2010
Last Update Date
10 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083853620
Graduation Year
2010 (16 years ago)
PAC ID
3971628884
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20140902000468
Address ID
ID836513708NA172XXSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

82 QUALIFIED AUDIOLOGIST in ID

Provider Addresses for LARISSA MANN (AU.D.)

  • 172 2ND ST S

    NAMPA, ID 836513708

    Phone: (208) 489-5950

    Mailing address matches the actual address.

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: 2014-09-02

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
I20140902000468IQualified AudiologistIDTBD

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
92557Comprehensive hearing and speech recognition test2121$0
View full utilization report →

Insurance plans in this area (ZIP 83651)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

Can I cross-check LARISSA MANN (AU.D.) using NPI 1508170473?
NPI 1508170473 belongs to LARISSA MANN (AU.D.); compare other details if you need extra assurance.
Is LARISSA MANN (AU.D.) shown as active in public data?
Registry records indicate LARISSA MANN (AU.D.) maintains an active NPI.
How would a patient describe LARISSA MANN (AU.D.)'s focus?
For LARISSA MANN (AU.D.), the primary taxonomy reads as Audiologist. Clinical services aligned with this taxonomy classification.
Is LARISSA MANN (AU.D.) located near Nampa?
LARISSA MANN (AU.D.) currently maps to Nampa, Idaho in this extract.
Does LARISSA MANN (AU.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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