Larissa Wietlisbach
NPI 1982352597 · Plastic Surgery Physician · Chicago, IL
Enrolled with Medicare as Order and Referring Only - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larissa Wietlisbach is a Plastic Surgery Physician provider in Chicago, IL (NPI 1982352597).
Provider details
- NPI number
- 1982352597
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 125082534 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-13
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Frequently asked questions
- What is Larissa Wietlisbach's NPI number?
- Larissa Wietlisbach's National Provider Identifier (NPI) is 1982352597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larissa Wietlisbach's specialty?
- Larissa Wietlisbach is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Larissa Wietlisbach located?
- Larissa Wietlisbach's practice location on file with NPPES is 5841 S Maryland Ave # Mc6035, Chicago, IL 60637-1443.
- What is Larissa Wietlisbach's phone number?
- The practice phone number listed in the NPPES registry for Larissa Wietlisbach is (773) 702-6302.
- Does Larissa Wietlisbach accept Medicare?
- Larissa Wietlisbach is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larissa Wietlisbach's NPI active?
- Yes — Larissa Wietlisbach's NPI (1982352597) is active in the NPPES registry as of the last update on 2023-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.