Nicole Kay Larsen, FNP - Medicare Nurse Practitioner in Phoenix, AZ

Nicole Kay Larsen, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Phoenix, Arizona. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Md Homecare Llc and her current practice location is 9225 N 3rd St Ste 102, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 362-2983.

Nicole Kay Larsen is licensed to practice in Arizona (license number AP11391) 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 1265918726.

Contact Information

Nicole Kay Larsen, FNP
9225 N 3rd St Ste 102,
Phoenix, AZ 85020-2455
(602) 362-2983
(480) 565-4552



Physician's Profile

Full NameNicole Kay Larsen
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location9225 N 3rd St Ste 102, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Kay Larsen graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1265918726
  • Provider Enumeration Date: 07/17/2018
  • Last Update Date: 08/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5193065910
  • Enrollment ID: I20190314000187

Medical Identifiers

Medical identifiers for Nicole Kay Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265918726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine TAP11391 (Arizona)Secondary
363LF0000XNurse Practitioner - Family AP11391 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cobre Valley Regional Medical CenterGlobe, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Md Homecare Llc83253241146

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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. Nicole Kay Larsen allows following entities to bill medicare on her behalf.
Entity NameMd Homecare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720524333
PECOS PAC ID: 8325324114
Enrollment ID: O20170410001831

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Entity NameUmbrella Healthcare Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114603420
PECOS PAC ID: 1951763523
Enrollment ID: O20230814002396

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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. Nicole Kay 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 AddressPractice Location Address
Nicole Kay Larsen, FNP
9225 N 3rd St Ste 102,
Phoenix, AZ 85020-2455

Ph: (602) 362-2983
Nicole Kay Larsen, FNP
9225 N 3rd St Ste 102,
Phoenix, AZ 85020-2455

Ph: (602) 362-2983

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