MRS. NICOLE ELIZABETH LARVA – Adult Health Nurse Practitioner, NPI 1598233157

MRS. NICOLE ELIZABETH LARVA is a healthcare provider. based in Moraine, Ohio. specializing in Adult Health Nurse Practitioner. They hold a License No. APRN.CNP.024609 (OH). The NPI Number for MRS. NICOLE ELIZABETH LARVA is 1598233157

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE ELIZABETH LARVA
NPI
1598233157
Phone
(937) 991-3188
Address
3170 KETTERING BLVD
Enumeration Date
12 November 2018
Last Update Date
13 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374242469
Graduation Year
2019 (7 years ago)
PAC ID
2860735313
Group Practice PAC ID
5597708594
Professional Enrollment ID
I20190523002865
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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Provider Addresses for MRS. NICOLE ELIZABETH LARVA

  • 3170, Kettering Boulevard, Moraine, Montgomery County, Ohio, 45439, United States

    BUILDING B 3RD FLOOR

    MORAINE, OH 454391924

    Phone: (937) 991-3188

    Fax: (937) 223-9811

    Type: Mailing

  • Miami Valley Hospital, 1, Wyoming Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States

    DAYTON, OH 454092711

    Phone: (937) 208-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $289.

Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Mannkind Corporation ($203).

Total Amount

$289

General + Research + Ownership

Payments

2

Total payment records

General Amount

$289

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

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: 2019-05-23

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
I20190523002865INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45439)

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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: 5597708594View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryOH
Physician AssistantOH
-OH
Cardiovascular Disease (Cardiology)OH
-OH
Physician AssistantOH
Thoracic SurgeryPA
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

What identifier follows MRS. NICOLE ELIZABETH LARVA across health systems?
The NPI 1598233157 uniquely identifies MRS. NICOLE ELIZABETH LARVA in U.S. healthcare data.
Quick check: is MRS. NICOLE ELIZABETH LARVA active?
Public NPPES data shows MRS. NICOLE ELIZABETH LARVA with an active NPI status right now.
How should patients interpret MRS. NICOLE ELIZABETH LARVA's specialty?
The extract shows Adult Health Nurse Practitioner for MRS. NICOLE ELIZABETH LARVA. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. NICOLE ELIZABETH LARVA?
The directory associates MRS. NICOLE ELIZABETH LARVA with Moraine, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains MRS. NICOLE ELIZABETH LARVA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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