Dr Nicole Lynn Larson, DNP, APRN, PMHNP-BC - Medicare Nurse Practitioner in West St Paul, MN

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Dr Nicole Lynn Larson, DNP, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West St Paul, Minnesota. Her current practice location is 149 Thompson Ave E Ste 150, West St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 450-0860.

Dr Nicole Lynn Larson is licensed to practice in Minnesota (license number 1563) 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 1720048317.

Contact Information

Dr Nicole Lynn Larson, DNP, APRN, PMHNP-BC
149 Thompson Ave E Ste 150,
West St Paul, MN 55118-3238
(651) 450-0860
(651) 450-0759

Map and Direction




Provider's Profile

Full NameDr Nicole Lynn Larson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location149 Thompson Ave E Ste 150, West St Paul, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720048317
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 10/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547291569
  • Enrollment ID: I20050829000876

Medical Identifiers

Medical identifiers for Dr Nicole Lynn Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720048317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 1574425 (Minnesota)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1563 (Minnesota)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. Dr Nicole Lynn Larson allows following entities to bill medicare on her behalf.
Entity NameAssociated Clinic Of Psychology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588741292
PECOS PAC ID: 0749171320
Enrollment ID: O20040323000833

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. Dr Nicole Lynn 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
Dr Nicole Lynn Larson, DNP, APRN, PMHNP-BC
4240 Park Glen Rd,
St Louis Park, MN 55416-5427

Ph: (612) 925-6033		Dr Nicole Lynn Larson, DNP, APRN, PMHNP-BC
149 Thompson Ave E Ste 150,
West St Paul, MN 55118-3238

Ph: (651) 450-0860

Reviews and Comments


Nurse Practitioner Nurses in West St Paul, MN

Laura Marie Schuller, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1750 Robert St S, West St Paul, MN 55118
Phone: 651-455-6671    
Katelin Nicole Varnson, DNP, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 149 Thompson Ave E Ste 150, West St Paul, MN 55118
Phone: 651-450-0860    Fax: 651-450-0759
Jenna Rossow,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1471 Robert St S, West St Paul, MN 55118
Phone: 651-552-6029    
Hannah L. Kull, A.P.R.N.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1547 Livingston Ave, West St Paul, MN 55118
Phone: 651-726-9500    

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.