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TRACY LARSEN FNP-BC
NPI 1366762080
Nurse Practitioner - Family in Rock Springs, WY

Active since June 03, 2010PECOS Enrolled
1401 GATEWAY BLVD, ROCK SPRINGS, WY 82901(307) 362-6641 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2022, Feb 7, 2017, Mar 15, 2016 (3 updates tracked since 2016).

About Tracy Larsen Fnp-bc NPPES

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

TRACY LARSEN FNP-BC (NPI 1366762080) is an individual family provider in Rock Springs, Wyoming, licensed in Wyoming (19929) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366762080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY LARSENCredential: FNP-BC
Location Address1401 GATEWAY BLVDRock Springs, WY 82901-6717
Mailing Address2 Wild Horse RdRock Springs, WY 82901-6796
Phone(307) 362-6641
Sole ProprietorNo
Enumeration DateJune 3, 2010
Last NPPES UpdateNovember 2, 20223 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1366762080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WY · 19929
1401 GATEWAY BLVD, Rock Springs, WY 82901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Larsen Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82901 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,800 services$5.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MICHELLE COOK PT
Physical Therapist
1401 GATEWAY BLVD, SUITE 2
ROCK SPRINGS, WY 82901
Sweetwater County (307) 352-3626
KELSEY E ELLIS PT DPT
Physical Therapist
1401 GATEWAY BLVD, SUITE 2
ROCK SPRINGS, WY 82901
Sweetwater County (307) 352-3626
KAREN MACDONALD MSPT
Specialist
1401 GATEWAY BLVD, SUITE 2
ROCK SPRINGS, WY 82901
Sweetwater County (307) 352-3626

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 Tracy Larsen's NPI number?

The NPI number for Tracy Larsen is 1366762080. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Tracy Larsen located?

Tracy Larsen practices at 1401 Gateway Blvd, Rock Springs, WY 82901. The listed phone number is (307) 362-6641.

What is Tracy Larsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tracy Larsen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracy Larsen was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.