Mrs Nicole Yvonne Larson, WHNP, CNM is a medicare enrolled "Midwife" in Pasco, Washington. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Bramar Medical Group Pllc and her current practice location is
9613 Sandifur Pkwy Ste A, Pasco, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 943-8839.
Mrs Nicole Yvonne Larson is licensed to practice in Washington (license number AP61315151) 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 1386375905.
Provider's Profile
Full Name | Mrs Nicole Yvonne Larson |
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Gender | Female |
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Speciality | Certified Nurse Midwife (cnm) |
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Experience | 2 Years |
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Location | 9613 Sandifur Pkwy Ste A, Pasco, Washington |
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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. |
Medical Education and Training:
- Mrs Nicole Yvonne Larson graduated from nursing school in 2022
NPI Data:
- NPI Number: 1386375905
- Provider Enumeration Date: 06/23/2022
- Last Update Date: 06/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133501570
- Enrollment ID: I20220802002897
Medical Identifiers
Medical identifiers for Mrs Nicole Yvonne Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386375905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | RN61288984 (Washington) | Secondary |
176B00000X | Midwife | AP61315151 (Washington) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bramar Medical Group Pllc | 0941523302 | 2 |
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. Mrs Nicole Yvonne Larson allows following entities to bill medicare on her behalf.
Entity Name | Bramar Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871900662 PECOS PAC ID: 0941523302 Enrollment ID: O20141216002215 |
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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. Mrs Nicole Yvonne 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 |
Mrs Nicole Yvonne Larson, WHNP, CNM 9613 Sandifur Pkwy Ste A, Pasco, WA 99301-8028 Ph: (509) 943-8839 | Mrs Nicole Yvonne Larson, WHNP, CNM 9613 Sandifur Pkwy Ste A, Pasco, WA 99301-8028 Ph: (509) 943-8839 |
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