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: November 01, 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 University Of North Dakota School Of Medicine (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 CMSUniversity Of North Dakota School Of MedicineGraduated 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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

2

Medicare enrollment records show Kaylene Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
110 29TH AVE N, STE 301
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Anesthesia Medical Group, P.C.
  • 757 clinicians in this Medicare group
Anesthesiology
9441 HEALTH CENTER DR
Land O Lakes, FL 34637
  • Reassigned Medicare billing, Florida enrollment
  • 749 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Clinic/Center (Dental)
301 BECKER AVE SW
WILLMAR, MN 56201
Psychologist
301 BECKER AVE SW
WILLMAR, MN 56201
Ambulance
301 BECKER AVE SW
WILLMAR, MN 56201
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
301 BECKER AVE SW
WILLMAR, MN 56201
Registered Nurse (Registered Nurse First Assistant)
301 BECKER AVE SW
WILLMAR, MN 56201
Student in an Organized Health Care Education/Training Program
301 BECKER AVE SW
WILLMAR, MN 56201
Nurse Anesthetist, Certified Registered
301 BECKER AVE SW
WILLMAR, MN 56201
Pharmacist (Pharmacotherapy)
301 BECKER AVE SW
WILLMAR, MN 56201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Kaylene Larson located?

Kaylene Larson practices at 301 Becker Ave SW, Willmar, MN 56201. The listed phone number is (320) 235-4543.

What is Kaylene Larson's specialty?

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

Is Kaylene Larson enrolled in Medicare?

Yes. Kaylene Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kaylene Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaylene Larson reassigns Medicare benefits to 2 organizations: Anesthesia Medical Group, PC (Nashville, TN) and Greater Florida Anesthesiologists, LLC (Land O Lakes, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaylene Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaylene Larson accept?

Health plans from Oscar Health and Oscar Insurance Company list Kaylene Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kaylene Larson affiliated with any hospitals?

According to CMS data, Kaylene Larson is affiliated with Tennova Healthcare-Clarksville.

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.