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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NICOLE LARSEN MD
NPI 1033851183
Psychiatry & Neurology - Psychiatry in Columbus, WI

Active since April 10, 2022PECOS Enrolled
1515 PARK AVE, COLUMBUS, WI 53925(920) 623-2200 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Apr 10, 2022 (2 updates tracked since 2022).

About Nicole Larsen Md NPPES

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

NICOLE LARSEN MD (NPI 1033851183) is an individual psychiatry provider in Columbus, Wisconsin, licensed in Wisconsin (87325-20) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033851183
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameNICOLE LARSENCredential: MD
Location Address1515 PARK AVEColumbus, WI 53925-2402
Mailing Address1515 Park AveColumbus, WI 53925-2402 · (920) 623-2200
Phone(920) 623-2200
Sole ProprietorNo
Enumeration DateApril 10, 2022
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1033851183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 87325-20
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1515 PARK AVE, Columbus, WI 53925
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Larsen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53925 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

ZACHARY JON AHOLA MD
Family Medicine
1515 PARK AVE
COLUMBUS, WI 53925
Columbia County (920) 623-2200
MATTHEW C NIESEN M.D.
Orthopaedic Surgery
1515 PARK AVE
COLUMBUS, WI 53925
Columbia County (920) 623-2200
STACY BIESEL RN, CDE
Registered Nurse (Diabetes Educator)
1515 PARK AVE
COLUMBUS, WI 53925
Columbia County (920) 623-1244
SHERRY BISBEE
Pharmacist
1515 PARK AVE
COLUMBUS, WI 53925
Columbia County (920) 623-1380
DAVID L PELOZA MD
Allergy & Immunology
1515 PARK AVE
COLUMBUS, WI 53925
Columbia County (920) 623-2200
TYLER CURTY DPT
Physical Therapist
1515 PARK AVE
COLUMBUS, WI 53925
Columbia County (920) 623-2200
ANGELA QUINN YAMRISKA RDN
Dietitian, Registered
1515 PARK AVE
COLUMBUS, WI 53925
Columbia County (920) 623-2200
EMILY REBECCA MOORE MS, RD, CD, CSO
Dietitian, Registered
1515 PARK AVE
COLUMBUS, WI 53925
Columbia County (920) 350-2672

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 Nicole Larsen's NPI number?

The NPI number for Nicole Larsen is 1033851183. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Nicole Larsen located?

Nicole Larsen practices at 1515 Park Ave, Columbus, WI 53925. The listed phone number is (920) 623-2200.

What is Nicole Larsen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicole Larsen enrolled in Medicare?

Yes. Nicole Larsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Larsen was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.