Nicole Kay Larsen, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Phoenix, Arizona. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Infinity Medical Providers Llc, Md Homecare Llc and her current practice location is
9225 N 3rd St Ste 102, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 362-2983.
Nicole Kay Larsen is licensed to practice in Arizona (license number AP11391) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265918726.
Physician's Profile
| Full Name | Nicole Kay Larsen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 9225 N 3rd St Ste 102, Phoenix, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Kay Larsen graduated from medical school in 2018
NPI Data:
- NPI Number: 1265918726
- Provider Enumeration Date: 07/17/2018
- Last Update Date: 08/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 5193065910
- Enrollment ID: I20190314000187
Medical Identifiers
Medical identifiers for Nicole Kay Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265918726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | TAP11391 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP11391 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Infinity Medical Providers Llc | 6002246006 | 3 |
| Md Homecare Llc | 8325324114 | 6 |
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. Nicole Kay Larsen allows following entities to bill medicare on her behalf.
| Entity Name | Md Homecare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720524333
PECOS PAC ID: 8325324114
Enrollment ID: O20170410001831 |
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| Entity Name | Infinity Medical Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154957678
PECOS PAC ID: 6002246006
Enrollment ID: O20200414003938 |
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| Entity Name | Umbrella Healthcare Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114603420
PECOS PAC ID: 1951763523
Enrollment ID: O20230814002396 |
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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. Nicole Kay Larsen 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 |
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Nicole Kay Larsen, FNP
9225 N 3rd St Ste 102,
Phoenix, AZ 85020-2455
Ph: (602) 362-2983 | Nicole Kay Larsen, FNP
9225 N 3rd St Ste 102,
Phoenix, AZ 85020-2455
Ph: (602) 362-2983 |
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