DR. KELLY SUZANNE LARSON M.D.
NPI 1023191442
Family Medicine in Olympia, WA
About Dr. Kelly Suzanne Larson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY SUZANNE LARSON M.D. (NPI 1023191442) is an individual family medicine provider in Olympia, Washington, licensed in Washington (60361325) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2006).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Kelly Suzanne Larson M.d. 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kelly Larson's NPI number?
The NPI number for Kelly Larson is 1023191442. It was assigned to this individual provider in the NPPES registry on October 21, 2006.
Where is Kelly Larson located?
Kelly Larson practices at 700 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 650-7125.
What is Kelly Larson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kelly Larson enrolled in Medicare?
Yes. Kelly 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.
When was this NPI record last updated?
The NPPES record for Kelly Larson was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Kelly Suzanne Larson, M.D. · NPI 1023191442
Family Medicine physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since October 21, 2006.
## Identity
- **NPI:** 1023191442 (Entity type: Individual)
- **Enumerated:** October 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 60361325 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 LILLY RD NE, Olympia, WA 98506-5115
- **Phone:** (360) 650-7125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 2006
## Record status
- **NPPES last updated:** May 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023191442) · Data from the CMS NPPES public registry.