MR. BRYAN DUANE LARSON DNP-PMHNP
NPI 1174177471
Nurse Practitioner - Psychiatric/Mental Health in Mattawa, WA
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Bryan Larson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grandview, WA 98930
- Reassigned Medicare billing, Washington enrollment
Wichita, KS 67202
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Sondermind PA
- 92 clinicians in this Medicare group
Jacksonville, FL 32207
- Reassigned Medicare billing, Washington enrollment
- 39 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.
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.
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
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.
MATTAWA, WA 99349
MATTAWA, WA 99349
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.
Which organizations bill Medicare for Bryan Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Larson reassigns Medicare benefits to 3 organizations: United Early Learning & Family Center LLC (Grandview, WA), Sondermind, P.A. (Wichita, KS) and Mccd Fl Psychiatry Services PA (Jacksonville, 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 Bryan Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bryan Larson accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska 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.
# Mr. Bryan Duane Larson, DNP-PMHNP · NPI 1174177471
Psychiatric/Mental Health physician in Mattawa, Washington. Individual provider, active in the CMS NPPES registry since July 25, 2019.
## Identity
- **NPI:** 1174177471 (Entity type: Individual)
- **Enumerated:** July 25, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP60980845 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 210 GOVERNMENT ROAD, Mattawa, WA 99349-0906
- **Phone:** (509) 932-4499 · **Fax:** (509) 932-5363
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): United Early Learning & Family Center LLC (NPI 1801405642, Grandview, WA); Sondermind, P.A. (NPI 1710647581, Wichita, KS); Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 18, 2023
- **Other identifiers:** Medicaid 2144830 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174177471) · Data from the CMS NPPES public registry.