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MR. BRYAN DUANE LARSON DNP-PMHNP
NPI 1174177471
Nurse Practitioner - Psychiatric/Mental Health in Mattawa, WA

Active since July 25, 2019PECOS EnrolledAccepts Medicare Assignment
210 GOVERNMENT ROAD, MATTAWA, WA 99349(509) 932-4499(509) 932-5363 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2023, Aug 9, 2021, Jun 29, 2021 and 1 more (4 updates tracked since 2019).

About Mr. Bryan Duane Larson Dnp-pmhnp NPPES

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

MR. BRYAN DUANE LARSON DNP-PMHNP (NPI 1174177471) is an individual psychiatric/mental health provider in Mattawa, Washington, licensed in Washington (AP60980845) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174177471
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BRYAN DUANE LARSONCredential: DNP-PMHNP
Location Address210 GOVERNMENT ROADMattawa, WA 99349-0906
Mailing AddressPo Box 1581Mattawa, WA 99349-0960 · (509) 932-4119
Phone(509) 932-4499
Fax(509) 932-5363
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 25, 2019
Last NPPES UpdateJuly 18, 20234 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1174177471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60980845
210 GOVERNMENT ROAD, Mattawa, WA 99349
Open in Google Maps ↗

Other Identifiers 1

Medicaid2144830WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Mr. Bryan Duane Larson Dnp-pmhnp 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 ID8022444694
PECOS Enrollment IDI20200511000904
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 99349 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%24 patients
Documentation of Current Medications in the Medical Record
61%211 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 65% · 60 patients
63%60 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

MS. CHERYL MARIE MIELBRECHT MS, PA-C
Physician Assistant
210 GOVERNMENT ROAD
MATTAWA, WA 99349
Grant County (509) 932-4499
GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5
Pharmacy (Community/Retail Pharmacy)
210 GOVERNMENT ROAD
MATTAWA, WA 99349
Grant County (509) 932-4119
CYNTHIA A JOHNSON CD
Dietitian, Registered
210 GOVERNMENT ROAD
MATTAWA, WA 99349
Grant County (509) 932-4499
GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO 5
Clinic/Center (Federally Qualified Health Center (FQHC))
210 GOVERNMENT ROAD
MATTAWA, WA 99349
Grant County (509) 932-4499

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 Bryan Larson's NPI number?

The NPI number for Bryan Larson is 1174177471. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Bryan Larson located?

Bryan Larson practices at 210 Government Road, Mattawa, WA 99349. The listed phone number is (509) 932-4499.

What is Bryan Larson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bryan Larson enrolled in Medicare?

Yes. Bryan 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.

What insurance does Bryan Larson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Bryan 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.

When was this NPI record last updated?

The NPPES record for Bryan Larson was last updated on July 18, 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.