AMANDA LYNN LARSEN NP
NPI 1386361772
Nurse Practitioner - Family in Baltimore, MD
About Amanda Lynn Larsen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA LYNN LARSEN NP (NPI 1386361772) is an individual family provider in Baltimore, Maryland, licensed in Maryland (AC004834) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amanda Lynn Larsen Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Larsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 531 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tidalhealth Peninsula Regional, Inc
Acute Care Hospitals · Salisbury, MDAtlantic General Hospital
Acute Care Hospitals · Berlin, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21202
BALTIMORE, MD 21202
BALTIMORE, MD 21202
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 Larsen's NPI number?
The NPI number for Amanda Larsen is 1386361772. It was assigned to this individual provider in the NPPES registry on October 26, 2022.
Where is Amanda Larsen located?
Amanda Larsen practices at 301 Saint Paul Pl, Baltimore, MD 21202. The listed phone number is (410) 649-3485.
What is Amanda Larsen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Larsen enrolled in Medicare?
Yes. Amanda Larsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amanda Larsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Larsen reassigns Medicare benefits to Tidalhealth Specialty Care, LLC (Salisbury, MD). The 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 Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Amanda Larsen affiliated with any hospitals?
According to CMS data, Amanda Larsen is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Larsen was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Amanda Lynn Larsen, NP · NPI 1386361772
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since October 26, 2022.
## Identity
- **NPI:** 1386361772 (Entity type: Individual)
- **Enumerated:** October 26, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AC004834 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 SAINT PAUL PL, Baltimore, MD 21202-2165
- **Phone:** (410) 649-3485 · **Fax:** (410) 659-2817
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tidalhealth Specialty Care, LLC (NPI 1619504735, Salisbury, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 6, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1386361772) · Data from the CMS NPPES public registry.