SAMUEL COLE LARSEN
NPI 1205553849
Student in an Organized Health Care Education/Training Program in Aurora, CO
About Samuel Cole Larsen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL COLE LARSEN (NPI 1205553849) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.
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 (PECOS)
Samuel Cole Larsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
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 Samuel Larsen's NPI number?
The NPI number for Samuel Larsen is 1205553849. It was assigned to this individual provider in the NPPES registry on October 25, 2022.
Where is Samuel Larsen located?
Samuel Larsen practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-1784.
What is Samuel Larsen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samuel Larsen enrolled in Medicare?
Yes. Samuel Larsen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samuel Larsen was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Samuel Cole Larsen · NPI 1205553849
Student in an Organized Health Care Education/Training Program provider in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since October 25, 2022.
## Identity
- **NPI:** 1205553849 (Entity type: Individual)
- **Enumerated:** October 25, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 12631 E 17TH AVE, Aurora, CO 80045-2527
- **Phone:** (303) 724-1784
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205553849) · Data from the CMS NPPES public registry.