LARISSA KANEESHA PETERSON – Family Nurse Practitioner, NPI 1225506397
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LARISSA KANEESHA PETERSON
111, Garrisonville Road, Stafford County, Virginia, 22554, United States
STAFFORD, VA 225541573
Phone: (540) 720-8000
Type: Mailing
1 CALIFORNIA ST STE 2300
SAN FRANCISCO, CA 941115424
Phone:
Type: Mailing
1180 S BEVERLY DR STE 700
LOS ANGELES, CA 900351151
Phone: (424) 334-6288
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 $300.
Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.
Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Gilead Sciences, Inc. ($121).
Total Amount
$300
General + Research + Ownership
Payments
3
Total payment records
General Amount
$300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $121 |
| Biogen, Inc. | $93 |
| Medline Industries LP | $86 |
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: 2024-05-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190123004265 | I | Nurse Practitioner | VA | TBD |
| I20240507001325 | I | Nurse Practitioner | CA | 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 22554)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA |
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