Shannan Nicole Larson, CRNA | |
404 Jefferson St, Pella, IA 50219 | |
(641) 628-6634 | |
(641) 621-2458 |
Full Name | Shannan Nicole Larson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 404 Jefferson St, Pella, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750701009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 133501 (Iowa) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | D133501 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Unitypoint Health - Des Moines Iowa Methodist Medi | Des moines, IA | Hospital |
Mercyone Newton Medical Center | Newton, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
M And M Anesthesia, Llc | 2961823596 | 11 |
Ikc Llc | 5294140851 | 7 |
Mercy Medical Center-newton | 7911803176 | 23 |
Entity Name | Knoxville Community Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770591661 PECOS PAC ID: 6608787056 Enrollment ID: O20031119000804 |
Entity Name | Ringgold County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700935202 PECOS PAC ID: 7315849973 Enrollment ID: O20040123000414 |
Entity Name | Anesthesia Iowa Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114018983 PECOS PAC ID: 3476443524 Enrollment ID: O20040319001199 |
Entity Name | Franklin General Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1477637759 PECOS PAC ID: 5799693925 Enrollment ID: O20061104000105 |
Entity Name | Ringgold County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1811046568 PECOS PAC ID: 7315849973 Enrollment ID: O20070116000516 |
Entity Name | Dallas County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1669477089 PECOS PAC ID: 9931094257 Enrollment ID: O20080124000605 |
Entity Name | Mercy Medical Center-newton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134509292 PECOS PAC ID: 7911803176 Enrollment ID: O20150713000204 |
Entity Name | M & M Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326668328 PECOS PAC ID: 2961823596 Enrollment ID: O20200605001423 |
Entity Name | Ikc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659904803 PECOS PAC ID: 5294140851 Enrollment ID: O20210212002431 |
Mailing Address | Practice Location Address |
---|---|
Shannan Nicole Larson, CRNA Po Box 843032, Kansas City, MO 64184-3032 Ph: (913) 642-4900 | Shannan Nicole Larson, CRNA 404 Jefferson St, Pella, IA 50219 Ph: (641) 628-6634 |