Kelsey Noel Larson, PMHNP in Fargo, ND - Medicare Nurse Practitioner

Kelsey Noel Larson, PMHNP is a medicare enrolled "Nurse Practitioner" in Fargo, North Dakota. Her current practice location is 100 4th St S Ste 500, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-4141.

Kelsey Noel Larson is licensed to practice in North Dakota (license number R39988) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477229573.

Contact Information

	Kelsey Noel Larson, PMHNP
	100 4th St S Ste 500, Fargo, ND 58103-1939
	(701) 234-4141
	(701) 234-4137

Map and Direction

Provider's Profile

Full Name	Kelsey Noel Larson
Gender	Female
Speciality	Nurse Practitioner
Location	100 4th St S Ste 500, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477229573
Provider Enumeration Date: 08/18/2021
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 7911304746
Enrollment ID: I20210922000235

Medical Identifiers

Medical identifiers for Kelsey Noel Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477229573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R39988 (North Dakota)	Secondary
363L00000X	Nurse Practitioner	R39988 (North Dakota)	Primary

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. Kelsey Noel Larson allows following entities to bill medicare on her behalf.

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Kelsey Noel Larson 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
Kelsey Noel Larson, PMHNP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Kelsey Noel Larson, PMHNP 100 4th St S Ste 500, Fargo, ND 58103-1939 Ph: (701) 234-4141

Reviews and Comments

Nurse Practitioner Nurses in Fargo, ND

Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Fargo, ND 58104 Phone: 701-364-8000 Fax: 701-364-3561

Kelsey Noel Larson, PMHNP - Medicare Nurse Practitioner in Fargo, ND