Larysa Tarashevska Wickman, M.D
Pediatric Nephrology Physician · Ann Arbor, MI
Larysa Tarashevska Wickman, M.D is a pediatric nephrology physician with a practice address in Ann Arbor, Michigan, and NPI 1063603082, issued on Aug 6, 2007. Check the license (Michigan 4301089772, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Larysa Tarashevska Wickman
- Credential
- M.D
- Primary taxonomy
- Pediatric Nephrology Physician 2080P0210X
- License number
- 4301089772 MI
Self-reported in NPPES; status is on the state search - Practice location
- 1500 E Medical Center Dr, Ann Arbor, MI 48109
- Phone
- (734) 936-4210
- Enumerated
- Aug 6, 2007
- Record last updated
- Oct 20, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20101109001479); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatric nephrology physician records → All 38 in Michigan → Look up another NPI →
Also registered at 1500 E Medical Center Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Rajani Aatre, M.S., M.SC.Genetic Counselor (M.S.)1962122457
- Anjelica Abate, MDDiagnostic Radiology Physician1841819216
- Nicole Abbott, CRNACertified Registered Nurse Anesthetist1790329860
- Ahmed Abdel-Latif, M.D.Interventional Cardiology Physician1518181239
Verify Larysa Tarashevska Wickman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301089772Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 81 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Beaumont Medical Group- Specialty ServicesFarmington Hills, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Larysa Tarashevska Wickman among 38 pediatric nephrology physician records in Michigan
Larysa Tarashevska Wickman, M.D is one of 38 pediatric nephrology physician records with a practice address in Michigan. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 21% of them.
- NPI issued2007 · 21% of these records are older, 61% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 55% of these records are
- Graduated1996 · median 2006 among the 21 with a school on file
- Record last updated2020 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0210X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Nephrology Physician providers in Michigan
There are 38 pediatric nephrology physician records in Michigan.
All 38 in Michigan → Every provider in Ann Arbor → Pediatric Nephrology Physician nationwide →
The 8 pediatric nephrology physician records with the nearest ZIP codes
- Brooke Blazius, D.O.Ann Arbor, MI 481091386094548
- Mary Borst, MDAnn Arbor, MI 481091760916373
- Brendan Crawford, MDAnn Arbor, MI 481091346536893
- Friedhelm Hildebrandt, MDAnn Arbor, MI 481091912911173
- David Kershaw, MDAnn Arbor, MI 481091174539340
- Sophia Khalil, MDAnn Arbor, MI 481091417576604
- Clare Lindner, MDAnn Arbor, MI 481091386932853
- Rebecca Lombel, M.D.Ann Arbor, MI 481091033312707
Common questions
What is Larysa Tarashevska Wickman, M.D's NPI number?
Larysa Tarashevska Wickman, M.D's National Provider Identifier (NPI) is 1063603082, issued on Aug 6, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Larysa Tarashevska Wickman, M.D located?
The NPPES record lists a practice address at 1500 E Medical Center Dr, Ann Arbor, MI, 48109. Phone: (734) 936-4210. Providers update this record themselves, so call before visiting.
How can I verify Larysa Tarashevska Wickman, M.D's license?
NPPES lists Michigan license number 4301089772, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Larysa Tarashevska Wickman, M.D's MIPS final score?
The 2023 MIPS final score is 81 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.