LARISSA N WILHELM (DC) – Chiropractor, NPI 1154099406

LARISSA N WILHELM (DC) is a healthcare provider. based in Grantsburg, Wisconsin. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6886 (MN). The NPI Number for LARISSA N WILHELM (DC) is 1154099406

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
LARISSA N WILHELM (DC)
NPI
1154099406
Phone
Not provided
Address
509 W WISCONSIN AVE
Enumeration Date
1 September 2021
Last Update Date
1 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206798996
Graduation Year
2021 (5 years ago)
PAC ID
0941670285
Group Practice PAC ID
7416194774
Professional Enrollment ID
I20230103002349
Address ID
MN550511326MO20XXXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for LARISSA N WILHELM (DC)

  • 509 W WISCONSIN AVE

    GRANTSBURG, WI 548407823

    Phone:

    Type: Mailing

  • 20 UNION ST N

    MORA, MN 550511326

    Phone: (320) 679-8996

    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: 2023-01-03

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
I20230103002349IChiropracticMNTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions23252$0
98940Chiropractic manipulative treatment, 1-2 spinal regions17643$0
View full utilization report →

Insurance plans in this area (ZIP 54840)

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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: 7416194774View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

What identifier follows LARISSA N WILHELM (DC) across health systems?
The NPI 1154099406 uniquely identifies LARISSA N WILHELM (DC) in U.S. healthcare data.
Quick check: is LARISSA N WILHELM (DC) active?
Public NPPES data shows LARISSA N WILHELM (DC) with an active NPI status right now.
How should patients interpret LARISSA N WILHELM (DC)'s specialty?
The extract shows Chiropractor for LARISSA N WILHELM (DC). Clinical services aligned with this taxonomy classification.
Is LARISSA N WILHELM (DC) tied to Grantsburg, Wisconsin?
If you are local to Grantsburg, Wisconsin, LARISSA N WILHELM (DC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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