MS. KAYLENE NICHOLE LARSON APRN, CRNA
NPI 1003323304
Nurse Anesthetist, Certified Registered in Willmar, MN

Active since January 08, 2018Accepts Medicare Assignment
301 BECKER AVE SW, WILLMAR, MN 56201(320) 235-4543 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 16, 2023, Apr 12, 2023, Jan 10, 2018 (3 updates tracked since 2018).

About Ms. Kaylene Nichole Larson Aprn, Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KAYLENE NICHOLE LARSON APRN, CRNA (NPI 1003323304) is an individual nurse anesthetist, certified registered in Willmar, Minnesota, licensed in Minnesota (2163) and active in the NPI registry since January 2018. She is affiliated with Tennova Healthcare-clarksville and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003323304
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. KAYLENE NICHOLE LARSONCredential: APRN, CRNA
Location Address301 BECKER AVE SWWillmar, MN 56201-3302
Mailing Address4161 18th Ave S Apt 117Fargo, ND 58103-7416 · (701) 212-2396
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 8, 2018
Last NPPES UpdateAugust 16, 20233 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1003323304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MN · 2163
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

301 BECKER AVE SW, Willmar, MN 56201

Other Names 1

Former Name (1)Mrs. Kaylene Nichole Wendorff

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kaylene Nichole Larson Aprn, Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416217237
PECOS Enrollment IDI20230828003499

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440035
Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
301 BECKER AVE SW
WILLMAR, MN 56201
Psychologist
301 BECKER AVE SW
WILLMAR, MN 56201
Radiology (Diagnostic Radiology)
301 BECKER AVE SW
WILLMAR, MN 56201
Nurse Anesthetist, Certified Registered
301 BECKER AVE SW
WILLMAR, MN 56201
Pathology (Anatomic Pathology & Clinical Pathology)
301 BECKER AVE SW, RICE MEMORIAL HOSPITAL
WILLMAR, MN 56201
Psychiatry & Neurology (Psychiatry)
301 BECKER AVE SW
WILLMAR, MN 56201
Nurse Anesthetist, Certified Registered
301 BECKER AVE SW, RICE HOSPITAL
WILLMAR, MN 56201
Nurse Anesthetist, Certified Registered
301 BECKER AVE SW
WILLMAR, MN 56201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003323304, enumerated as an "individual" on January 08, 2018.

The provider is located at 301 BECKER AVE SW WILLMAR, MN 56201 and the phone number is (320) 235-4543.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.

Kaylene Larson is affiliated with: TENNOVA HEALTHCARE-CLARKSVILLE.