ELIZABETH LARSON DNP, APRN, AGACNP-BC
NPI 1205594413
Nurse Practitioner - Gerontology in Prescott, AZ

Q: What is Elizabeth Larson's NPI number?

The NPI number for Elizabeth Larson is 1205594413. It was assigned to this individual provider in the NPPES registry on December 5, 2021.

Q: What is Elizabeth Larson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Larson was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 05, 2021PECOS Enrolled

3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305(866) 849-0692 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Jul 6, 2026, May 13, 2026 and 5 more (8 updates tracked since 2021).

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About Elizabeth Larson Dnp, Aprn, Agacnp-bc NPPES

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

ELIZABETH LARSON DNP, APRN, AGACNP-BC (NPI 1205594413) is an individual gerontology provider in Prescott, Arizona, licensed in Arizona (275445) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205594413

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameELIZABETH LARSONCredential: DNP, APRN, AGACNP-BC

Location Address3623 CROSSINGS DR STE 206Prescott, AZ 86305-7101

Mailing Address3015 E Amber Ridge WayPhoenix, AZ 85048-7741 · (480) 381-9575

Phone(866) 849-0692

Sole ProprietorNo

Enumeration DateDecember 5, 2021

Last NPPES UpdateAugust 3, 20268 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1205594413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in AZ · 275445✔ Licensed in NE · 116934✔ Licensed in WY · 58701

Also ListedRegistered NurseTaxonomy 163W00000X · License RN200398 (AZ)

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN-5992 (HI), 89121 (NM), 10059261 (OR)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 275445 (AZ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3623 CROSSINGS DR STE 206, Prescott, AZ 86305

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Secondary Practice Locations 2

Location 11305 N Martin AveTucson, AZ 85721-0001 · Phone (520) 626-6154

Location 2161 E Rivulon Blvd Ste 210Gilbert, AZ 85297-0035 · Phone (602) 739-8769

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Larson Dnp, Aprn, Agacnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aim Healthcare Providers, LLC

98 mi

Family Medicine

161 E RIVULON BLVD STE 210
Gilbert, AZ 85297

Reassigned Medicare billing, Arizona enrollment
5 clinicians in this Medicare group

NPI 1295278000 (480) 494-2465

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 86305 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 19

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

ROBERT WOLFE FNP

Nurse Practitioner (Family)