Larissa Ann Cervantes, PMHNP-BC in Sheboygan, WI

Larissa Ann Cervantes, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sheboygan, Wisconsin. Her current practice location is 3425 Superior Ave, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Larissa Ann Cervantes is licensed to practice in Wisconsin (license number 16009-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861229833.

Contact Information

	Larissa Ann Cervantes, PMHNP-BC
	3425 Superior Ave, Sheboygan, WI 53081-1863
	(920) 496-4700
	Not Available

Map and Direction

Provider's Profile

Full Name	Larissa Ann Cervantes
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3425 Superior Ave, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861229833
Provider Enumeration Date: 09/16/2024
Last Update Date: 02/21/2025

Medicare PECOS Information:

PECOS PAC ID: 6406377316
Enrollment ID: I20250307002424

Medical Identifiers

Medical identifiers for Larissa Ann Cervantes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861229833	NPI	-	NPPES
100307182	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	16009-33 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	16009-33 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larissa Ann Cervantes allows following entities to bill medicare on her behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larissa Ann Cervantes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larissa Ann Cervantes, PMHNP-BC Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Larissa Ann Cervantes, PMHNP-BC 3425 Superior Ave, Sheboygan, WI 53081-1863 Ph: (920) 496-4700

Reviews and Comments

Nurse Practitioner Nurses in Sheboygan, WI

Mrs. Rachel Emily Rejniak, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3113 Saemann Ave, Sheboygan, WI 53081 Phone: 920-496-4700
Erin Jessie Holzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Katrina Laura Arnold, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Mrs. Doris U Theune, MS RN CS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 Superior Ave, Sheboygan, WI 53081 Phone: 920-453-5414 Fax: 920-803-2990
Dr. Holly Ann Bartlein, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1411 North Taylor Dr., Sheboygan, WI 53081 Phone: 920-457-4858
Pamela A Higgins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2700 Fax: 920-828-2705
Mary Lou Roethel, MSN,NP-C,APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081 Phone: 920-496-4700

Larissa Ann Cervantes, PMHNP-BC - Medicare Nurse Practitioner in Sheboygan, WI