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

Q: What is Kaylene Larson's NPI number?

The NPI number for Kaylene Larson is 1003323304. It was assigned to this individual provider in the NPPES registry on January 8, 2018. The provider is also known as Mrs. Kaylene Nichole Wendorff.

Q: What is Kaylene Larson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kaylene Larson was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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

On this page

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

Phone(320) 235-4543

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

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Other Names 1

Former Name (1)Mrs. Kaylene Nichole Wendorff

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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.

CARRIS HEALTH, LLC

Clinic/Center (Dental)