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KRISTIAN RUSSELL LARSON MD
NPI 1336885995
Psychiatry & Neurology - Psychiatry in Chicago, IL

Active since May 06, 2022PECOS Enrolled
2150 W HARRISON ST, CHICAGO, IL 60612(312) 942-5375 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristian Russell Larson Md NPPES

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

KRISTIAN RUSSELL LARSON MD (NPI 1336885995) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (125.079623) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336885995
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKRISTIAN RUSSELL LARSONCredential: MD
Location Address2150 W HARRISON STChicago, IL 60612-3706
Mailing Address2150 W Harrison StChicago, IL 60612-3706 · (312) 942-5375
Phone(312) 942-5375
Sole ProprietorNo
Enumeration DateMay 6, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1336885995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 125.079623
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2150 W HARRISON ST, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristian Russell Larson Md 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 Kristian Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clarity Clinic PLLC
3.3 mi
Mental Health (Including Community Mental Health Center)
1 E SUPERIOR ST, SUITE 306
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1063803856 (312) 754-9404
Chicago Bh Hospital, LLC
6.6 mi
Psychiatric Hospital
4720 N CLARENDON AVE
Chicago, IL 60640
  • Reassigned Medicare billing, Illinois enrollment
  • 26 clinicians in this Medicare group
NPI 1336800119 (773) 878-9700

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 60612 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 20

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

DR. DOMINIKA ANNE WINIARSKI PHD
Psychologist (Clinical)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 563-9016
AYESHA DUA M.D.
Psychiatry & Neurology (Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
NICOLE ADAMOWICZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
MARY JANE WELCH NP
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-3112
DHANYA BASKARAN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-2185
DR. ANNEKA JOHNSTON-DUMERAUF MD
Psychiatry & Neurology (Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
JADA JARIA JOHNSON M.D
Psychiatry & Neurology (Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
MARIA FERNANDA SOLIS
Social Worker (Clinical)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375

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 Kristian Larson's NPI number?

The NPI number for Kristian Larson is 1336885995. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Kristian Larson located?

Kristian Larson practices at 2150 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-5375.

What is Kristian Larson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kristian Larson enrolled in Medicare?

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

Which organizations bill Medicare for Kristian Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristian Larson reassigns Medicare benefits to 2 organizations: Clarity Clinic PLLC (Chicago, IL) and Chicago Bh Hospital, LLC (Chicago, IL). 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 Kristian Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristian Larson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kristian 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 Kristian Larson was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.