Active NPI
Larisa Ulvija Lukoss, CRNP
- Adult Health Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 250875
- Practice address
- 4921 E Bell Rd Ste 205
Scottsdale, AZ 85254-6002 - Phone
- (800) 640-3451
- NPI assigned
- Mar 7, 2017
- Last updated
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP017306 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP017306 | PA | |
| Primary Care Nurse Practitioner | 363LP2300X | SP017306 | PA | |
| Adult Health Nurse Practitioner | 363LA2200X | 250875 | AZ | Primary |
Addresses
Primary practice location
4921 E Bell Rd Ste 205
Scottsdale, AZ 85254-6002
Mailing address
PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4921 E Bell Rd
Suite 205
Scottsdale, AZ 85254-6002
Phone (800) 640-3451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer J Hardenbrook MD PC | Current | Accepting new patients | |
| Bku Wound Management PLLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Wound Healing Solutions Pennsylvania and Delaware LLC | Past | Accepting new patients | |
| United Wound Healing Accountable Care Consultants PLLC | Adult Health | Past | Accepting new patients |
Locations
4921 E Bell Rd
Ste 205
Scottsdale, AZ 85254
Phone (602) 753-9403
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201
905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300
2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Scottsdale, AZ
- NPI 1306665724
-
- Surgery Physician
- Puyallup, WA
- NPI 1881337632
Adult Health
-
- Nurse Practitioner
- Barrington, NJ
- NPI 1306272075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1932649159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840621200",
"telephone_number": "800-640-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 E BELL RD STE 205",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546002",
"telephone_number": "800-640-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKOSS",
"first_name": "LARISA",
"middle_name": "ULVIJA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP017306",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP017306",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP017306",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "250875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.