KELLY MARIE GALLOIS LARSON NP
NPI 1467169276
Nurse Practitioner - Psychiatric/Mental Health in Burlington, WI
About Kelly Marie Gallois Larson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MARIE GALLOIS LARSON NP (NPI 1467169276) is an individual psychiatric/mental health provider in Burlington, Wisconsin, licensed in Wisconsin (13310) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Kelly Marie Gallois Larson 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 Kelly Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53105 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Larson's NPI number?
The NPI number for Kelly Larson is 1467169276. It was assigned to this individual provider in the NPPES registry on November 1, 2022.
Where is Kelly Larson located?
Kelly Larson practices at 116 N Dodge St, Burlington, WI 53105. The listed phone number is (414) 773-4312.
What is Kelly Larson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelly Larson enrolled in Medicare?
Yes. Kelly 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 Kelly Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Larson reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). 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 Kelly Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Larson accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Kelly 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 Kelly Larson was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kelly Marie Gallois Larson, NP · NPI 1467169276
Psychiatric/Mental Health physician in Burlington, Wisconsin. Individual provider, active in the CMS NPPES registry since November 1, 2022.
## Identity
- **NPI:** 1467169276 (Entity type: Individual)
- **Enumerated:** November 1, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 13310 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 116 N DODGE ST, Burlington, WI 53105-1963
- **Phone:** (414) 773-4312
## 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:** Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 15, 2025
- **Other identifiers:** Medicaid 100222156 (WI); Medicaid 100222026 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1467169276) · Data from the CMS NPPES public registry.