Ms Kaylene Nichole Larson, APRN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Willmar, MN

Ms Kaylene Nichole Larson, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Willmar, Minnesota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Medical Group, P.c. and her current practice location is 301 Becker Ave Sw, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 235-4543.

Ms Kaylene Nichole Larson is licensed to practice in Minnesota (license number 2163) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1003323304.

Contact Information

Ms Kaylene Nichole Larson, APRN, CRNA
301 Becker Ave Sw,
Willmar, MN 56201-3302
(320) 235-4543
Not Available



Provider's Profile

Full NameMs Kaylene Nichole Larson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location301 Becker Ave Sw, Willmar, Minnesota
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kaylene Nichole Larson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1003323304
  • Provider Enumeration Date: 01/08/2018
  • Last Update Date: 08/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416217237
  • Enrollment ID: I20230828003499

Medical Identifiers

Medical identifiers for Ms Kaylene Nichole Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003323304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2163 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Healthcare-clarksvilleClarksville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Medical Group, P.c.6901702307469

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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. Ms Kaylene Nichole Larson allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Medical Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215932413
PECOS PAC ID: 6901702307
Enrollment ID: O20031208000822

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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. Ms Kaylene Nichole 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
Ms Kaylene Nichole Larson, APRN, CRNA
4161 18th Ave S Apt 117,
Fargo, ND 58103-7416

Ph: (701) 212-2396
Ms Kaylene Nichole Larson, APRN, CRNA
301 Becker Ave Sw,
Willmar, MN 56201-3302

Ph: (320) 235-4543

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Nurse Anesthetist, Certified Registered Nurses in Willmar, MN

James Malkuch, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 301 Becker Ave Sw, Willmar, MN 56201
Phone: 320-235-4543    
Ms. Kimberly Diane Rupp-montpetit, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 301 Becker Ave Sw, Willmar, MN 56201
Phone: 320-231-4120    
Mr. Grayson Joel Swalin, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 301 Becker Ave Sw, Willmar, MN 56201
Phone: 320-231-4130    
Eric Julian Peterson, CRNA,MSN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 301 Becker Ave Sw, Willmar, MN 56201
Phone: 320-231-4120    
Donald Glenn Fisher, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 301 Becker Ave Sw, Rice Hospital, Willmar, MN 56201
Phone: 320-231-4130    
Charles Haupert Ii,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201
Phone: 320-231-5079    

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