Elizabeth Ann Larsen, APRN in Provo, UT - Medicare Nurse Practitioner

Elizabeth Ann Larsen, APRN is a medicare enrolled "Nurse Practitioner - Family" in Provo, Utah. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gunnison Valley Hospital, Central Utah Clinic Pc and her current practice location is 1055 N 500 W Bldg A, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 812-5033.

Elizabeth Ann Larsen is licensed to practice in Utah (license number 5399391-4405) 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 1093770562.

Contact Information

	Elizabeth Ann Larsen, APRN
	1055 N 500 W Bldg A, Provo, UT 84604-3305
	(801) 812-5033
	(801) 812-5034

Map and Direction

Provider's Profile

Full Name	Elizabeth Ann Larsen
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	1055 N 500 W Bldg A, Provo, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elizabeth Ann Larsen graduated from nursing school in 2005

NPI Data:

NPI Number: 1093770562
Provider Enumeration Date: 04/19/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3072691773
Enrollment ID: I20080422000231

Medical Identifiers

Medical identifiers for Elizabeth Ann Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093770562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5399391-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gunnison Valley Hospital	Gunnison, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gunnison Valley Hospital	3678487659	19
Central Utah Clinic Pc	7517868508	386

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. Elizabeth Ann Larsen allows following entities to bill medicare on her behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Entity Name	Gunnison Valley Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1952463036 PECOS PAC ID: 3678487659 Enrollment ID: O20091103000521

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. Elizabeth Ann 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
Elizabeth Ann Larsen, APRN 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Elizabeth Ann Larsen, APRN 1055 N 500 W Bldg A, Provo, UT 84604-3305 Ph: (801) 812-5033

Reviews and Comments

Nurse Practitioner Nurses in Provo, UT

Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304
Ashley Saunders, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802
Jennifer Lynn Osborne, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-429-8191
Amber Elexis Marsh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd, Provo, UT 84604 Phone: 801-357-7850
Melissa Sue Guest, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760

Elizabeth Ann Larsen, APRN - Medicare Nurse Practitioner in Provo, UT