LARISSA SPURGEON (APRN) – Acute Care Nurse Practitioner, NPI 1023496817

LARISSA SPURGEON (APRN) is a healthcare provider. based in Lexington, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3009296 (KY). The NPI Number for LARISSA SPURGEON (APRN) is 1023496817

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LARISSA SPURGEON (APRN)
NPI
1023496817
Phone
(859) 421-2905
Address
4504 ARVICE CT
Enumeration Date
12 May 2015
Last Update Date
12 May 2015

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
8592578562
Graduation Year
2014 (12 years ago)
PAC ID
8022325489
Group Practice PAC ID
3072425289
Professional Enrollment ID
I20150916003672
Address ID
KY405360001LE800XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for LARISSA SPURGEON (APRN)

  • 4504 ARVICE CT

    LEXINGTON, KY 405154706

    Phone: (859) 421-2905

    Type: Mailing

  • 800 ROSE ST

    LEXINGTON, KY 405360001

    Phone: (859) 323-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: AngioDynamics, Inc. ($59).

Total Amount

$112

General + Research + Ownership

Payments

3

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-09-16

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
I20150916003672INurse PractitionerKYTBD

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
99291Critical care, first 30-74 minutes2413$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 40515)

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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: 3072425289View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerAR
Physician AssistantKY
Physician AssistantKY
-KY

Reviews

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Frequently asked questions

What is the standard ID for LARISSA SPURGEON (APRN) in the U.S.?
In the U.S., LARISSA SPURGEON (APRN) is identified by NPI 1023496817.
Does the public listing show LARISSA SPURGEON (APRN) as active?
LARISSA SPURGEON (APRN)'s NPI record reflects an active status in NPPES.
What type of care does LARISSA SPURGEON (APRN) provide?
LARISSA SPURGEON (APRN)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to LARISSA SPURGEON (APRN)?
The directory associates LARISSA SPURGEON (APRN) with Lexington, Kentucky. Check all listed addresses for suites or satellite offices.
Can I export LARISSA SPURGEON (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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