DR. KRISTOFER DANIEL LARSON DC
NPI 1417029976
Chiropractor - Sports Physician in Wasilla, AK
About Dr. Kristofer Daniel Larson Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTOFER DANIEL LARSON DC (NPI 1417029976) is an individual sports physician in Wasilla, Alaska, licensed in Alaska (435) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Western States College Of Chiropractic (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Dr. Kristofer Daniel Larson Dc 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 Kristofer Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wasilla, AK 99654
- Reassigned Medicare billing, Alaska enrollment
- 3 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 2
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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASILLA, AK 99654
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 Kristofer Larson's NPI number?
The NPI number for Kristofer Larson is 1417029976. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Kristofer Larson located?
Kristofer Larson practices at 1001 E Bogard Rd, Wasilla, AK 99654. The listed phone number is (907) 376-2225.
What is Kristofer Larson's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Kristofer Larson enrolled in Medicare?
Yes. Kristofer 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 Kristofer Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristofer Larson reassigns Medicare benefits to Larson Chiropractic, LLC (Wasilla, AK). 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 Kristofer Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristofer Larson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Kristofer 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 Kristofer Larson was last updated on January 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Dr. Kristofer Daniel Larson, DC · NPI 1417029976
Sports Physician provider in Wasilla, Alaska. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1417029976 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **State license:** 435 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 E BOGARD RD, Wasilla, AK 99654
- **Phone:** (907) 376-2225 · **Fax:** (907) 376-9225
## 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:** Larson Chiropractic, LLC (NPI 1801176672, Wasilla, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western States College Of Chiropractic, class of 2005
## Record status
- **NPPES last updated:** January 26, 2025
- **Other identifiers:** Medicaid CH0070 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1417029976) · Data from the CMS NPPES public registry.