SUZANNE PACE LARSON FNP-C
NPI 1396363412
Nurse Practitioner - Family in Sanford,l, CO
About Suzanne Pace Larson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUZANNE PACE LARSON FNP-C (NPI 1396363412) is an individual family provider in Sanford,l, Colorado, licensed in Colorado (APN.0995591-NP) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
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
Suzanne Pace Larson Fnp-c 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 Suzanne Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80920
- Reassigned Medicare billing, Colorado enrollment
- 17 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81151 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Suzanne Larson's NPI number?
The NPI number for Suzanne Larson is 1396363412. It was assigned to this individual provider in the NPPES registry on July 7, 2020.
Where is Suzanne Larson located?
Suzanne Larson practices at 21278 Saddle Mountian Dr, Sanford,l, CO 81151. The listed phone number is (806) 282-7094.
What is Suzanne Larson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Suzanne Larson enrolled in Medicare?
Yes. Suzanne Larson 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 Suzanne Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Larson reassigns Medicare benefits to Lykos Medical LLC (Colorado Springs, CO). 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 Suzanne Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Suzanne Larson was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Suzanne Pace Larson, FNP-C · NPI 1396363412
Family physician in Sanford,l, Colorado. Individual provider, active in the CMS NPPES registry since July 7, 2020.
## Identity
- **NPI:** 1396363412 (Entity type: Individual)
- **Enumerated:** July 7, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.0995591-NP (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 21278 SADDLE MOUNTIAN DR, Sanford,l, CO 81151-8115
- **Phone:** (806) 282-7094
## 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:** Lykos Medical LLC (NPI 1215423124, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1396363412) · Data from the CMS NPPES public registry.