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MR. BRANDON LEON LARSEN PA-C
NPI 1215523337
Physician Assistant - Medical in Idaho Falls, ID

Active since December 13, 2020PECOS Enrolled
1301 E 17TH ST, IDAHO FALLS, ID 83404(208) 991-4296(208) 656-2846 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2024, Dec 13, 2020 (2 updates tracked since 2020).

About Mr. Brandon Leon Larsen Pa-c NPPES

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

MR. BRANDON LEON LARSEN PA-C (NPI 1215523337) is an individual medical provider in Idaho Falls, Idaho, licensed in Idaho (PA-1985) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and maintains a secondary practice location in Idaho Falls.

NPPES Registry Identity

NPI1215523337
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BRANDON LEON LARSENCredential: PA-C
Location Address1301 E 17TH STIdaho Falls, ID 83404-6273
Mailing Address891 Tie Breaker DrAmmon, ID 83406-4554 · (208) 569-8676
Phone(208) 991-4296
Fax(208) 656-2846
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 13, 2020
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1215523337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-1985
1301 E 17TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Secondary Practice Location 1

Location 13760 Washington PkwyIdaho Falls, ID 83404-7593 · Phone (208) 881-5779 · Fax (888) 326-6076

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brandon Leon Larsen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729494786
PECOS Enrollment IDI20210317001243
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

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

BRENT HOLLOWAY
Case Manager/Care Coordinator
1301 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 538-3122
AAA AMERICAN HEALTHCARE LLC
Community/Behavioral Health
1301 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 538-3122
AAA AMERICAN HEALTHCARE LLC
Counselor (Mental Health)
1301 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 538-3122
AAA AMERICAN HEALTHCARE LLC
Peer Specialist
1301 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 538-1999
VALINDA L MIKESELL LPC
Counselor (Professional)
1301 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 538-3122
AAA AMERICAN HEALTHCARE LLC
Community/Behavioral Health
1301 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 538-3122
KRISTY ANN PENDLETON LCSW
Counselor (Mental Health)
1301 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 538-3122
DR. AARON A HARRIS PHD
Psychologist (Clinical)
1301 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (406) 848-4906

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 Brandon Larsen's NPI number?

The NPI number for Brandon Larsen is 1215523337. It was assigned to this individual provider in the NPPES registry on December 13, 2020.

Where is Brandon Larsen located?

Brandon Larsen practices at 1301 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 991-4296.

What is Brandon Larsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brandon Larsen enrolled in Medicare?

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

What insurance does Brandon Larsen accept?

Health plans from Moda Health Plan, Inc., Select Health and University of Utah Health Plans list Brandon Larsen 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.

Is Brandon Larsen affiliated with any hospitals?

According to CMS data, Brandon Larsen is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Larsen was last updated on November 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.