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DR. AMANDA CELEST ROOF LARSON M.D.
NPI 1336464544
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Tacoma, WA

Active since March 30, 2010PECOS Enrolled
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 403-1000 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Amanda Celest Roof Larson M.d. NPPES

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

DR. AMANDA CELEST ROOF LARSON M.D. (NPI 1336464544) is an individual pediatric orthopaedic surgery provider in Tacoma, Washington, licensed in Washington (MD60482537) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336464544
Entity TypeIndividualFemale
Primary Taxonomy207XP3100X
Provider Legal NameDR. AMANDA CELEST ROOF LARSONCredential: M.D.
Location Address315 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4234
Mailing Address315 Martin Luther King Jr WayTacoma, WA 98405-4234 · (253) 403-1000
Phone(253) 403-1000
Sole ProprietorNo
Enumeration DateMarch 30, 2010
Last NPPES UpdateFebruary 27, 2019
✔ NPI 1336464544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in WA · MD60482537
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 43587 (IA), 65700 (WI), MD60482537 (WA)
315 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405
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Other Names 1

Former Name (1)Ms. Amanda Celest Roof M.d.

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Celest Roof Larson M.d. 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 Reassignments

2

Medicare enrollment records show Amanda Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System
Same address
Family Medicine
315 MARTIN LUTHER KING JR WAY
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1033202346 (253) 403-1000
Gundersen Lutheran Medical Center Inc
1,523 mi
Clinic/Center
1111 7TH ST S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1225873458 (608) 782-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. JUSTIN CHA-CHENG NG MD
Emergency Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-2050
MR. SHI CHIAN KHOR PA
Physician Assistant (Surgical)
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-7537
DESISLAVA ZLATANOVA HITE M.D.
General Practice
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-8327
MRS. CHRISTINE MELODY BEUNING PHARM.D.
Pharmacist (Pharmacotherapy)
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1535
ROBERT F WACHTEL MD
Emergency Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1000
JAMES M ROOS MD
Family Medicine
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1000
RICK HAHN ARNP
Nurse Practitioner
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1000
JANET KOBAYASHI-HOBSON CCC
Speech-Language Pathologist
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1000

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 Amanda Larson's NPI number?

The NPI number for Amanda Larson is 1336464544. It was assigned to this individual provider in the NPPES registry on March 30, 2010. The provider is also known as Ms. Amanda Celest Roof M.D..

Where is Amanda Larson located?

Amanda Larson practices at 315 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 403-1000.

What is Amanda Larson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Amanda Larson enrolled in Medicare?

Yes. Amanda Larson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Larson reassigns Medicare benefits to 2 organizations: Multicare Health System (Tacoma, WA) and Gundersen Lutheran Medical Center Inc (La Crosse, WI). 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 Amanda Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Larson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Amanda 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 Amanda Larson was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.