Mr Nathan S Larson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lebanon, MO

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Mr Nathan S Larson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lebanon, Missouri. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Good Samaritan Regional Health Center, St Marys Hospital Centralia Illinois and his current practice location is 100 Hospital Dr, Lebanon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 533-6100.

Mr Nathan S Larson is licensed to practice in Missouri (license number 2013002285) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1255683777.

Contact Information

Mr Nathan S Larson, CRNA
100 Hospital Dr,
Lebanon, MO 65536-9210
(417) 533-6100
(417) 533-6021

Map and Direction




Provider's Profile

Full NameMr Nathan S Larson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location100 Hospital Dr, Lebanon, Missouri
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Nathan S Larson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1255683777
  • Provider Enumeration Date: 10/08/2012
  • Last Update Date: 07/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3274779905
  • Enrollment ID: I20170912002794

Medical Identifiers

Medical identifiers for Mr Nathan S Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255683777NPI-NPPES
600420082MedicaidMO
1255683777MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2013002285 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital
Clay County HospitalFlora, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Regional Health Center165827205962
St Marys Hospital Centralia Illinois670978892039

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. Mr Nathan S Larson allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851390132
PECOS PAC ID: 5294649372
Enrollment ID: O20031113000382
Entity NameSalem Township Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295739548
PECOS PAC ID: 0840195277
Enrollment ID: O20031126000688
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NameMarion Anesthesia Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790721579
PECOS PAC ID: 3577522010
Enrollment ID: O20041008000899
Entity NameMemorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1851390132
PECOS PAC ID: 5294649372
Enrollment ID: O20080529000078
Entity NameCounty Of Clay
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1184655136
PECOS PAC ID: 0042101982
Enrollment ID: O20180801002178

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. Mr Nathan S 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 AddressPractice Location Address
Mr Nathan S Larson, CRNA
Po Box 505164,
Saint Louis, MO 63150-5164

Ph: (417) 829-4620		Mr Nathan S Larson, CRNA
100 Hospital Dr,
Lebanon, MO 65536-9210

Ph: (417) 533-6100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lebanon, MO

Debra A Hoerth, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 120 Hospital Dr, Lebanon, MO 65536
Phone: 417-533-6100    
David Houzenga, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 120 Hospital Dr, Lebanon, MO 65536
Phone: 417-533-6100    
Sara L Kruse, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hospital Dr, Lebanon, MO 65536
Phone: 417-533-6026    
Susan Love, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hospital Dr, Lebanon, MO 65536
Phone: 417-533-6100    
Janice A Shore, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hospital Dr, Lebanon, MO 65536
Phone: 800-277-8151    Fax: 336-841-6217
Desiree Calbert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hospital Dr, Lebanon, MO 65536
Phone: 417-533-6100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.