MRS. LARISA LYNN HAMMOND (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053801894
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,142 NURSE PRACTITIONER in MT
Provider Addresses for MRS. LARISA LYNN HAMMOND (APRN)
3300 WASHTENAW AVE STE 280
ANN ARBOR, MI 481045184
Phone: (406) 960-4698
Type: Mailing
127 N HIGGINS AVE STE 6
MISSOULA, MT 598024457
Phone: (406) 960-4698
Type: Location
620 N 7th Ave
Bozeman, MT 597152867
Phone: (406) 600-2700
Fax: (406) 578-3353
Type: Location
7168 SADDLE MOUNTAIN RD
BOZEMAN, MT 597158502
Phone: (406) 600-2700
Type: Mailing
Farmhouse Lane, Bozeman, Gallatin County, Montana, 59717, United States
BOZEMAN, MT 59715
Phone: (406) 556-6500
Type: Location
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: 2025-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181011001130 | I | Nurse Practitioner | MT | TBD |
| I20241015000981 | I | Nurse Practitioner | TX | TBD |
| I20241015002190 | I | Nurse Practitioner | AZ | TBD |
| I20241126003053 | I | Nurse Practitioner | NM | TBD |
| I20251021002607 | I | Nurse Practitioner | WA | TBD |
| I20251105004330 | I | Nurse Practitioner | CA | TBD |
| I20251204002367 | I | Nurse Practitioner | CO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Physician Assistant | MO | |
| Nurse Practitioner | NC | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | CA |
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