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KELSEY NOEL LARSON PMHNP
NPI 1477229573
Nurse Practitioner in Fargo, ND

Active since August 18, 2021PECOS Enrolled
2400 32ND AVE S, FARGO, ND 58103(701) 234-2000(701) 234-4137 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2025, Aug 25, 2021, Aug 18, 2021 (3 updates tracked since 2021).

About Kelsey Noel Larson Pmhnp NPPES

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

KELSEY NOEL LARSON PMHNP (NPI 1477229573) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (R39988) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477229573
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELSEY NOEL LARSONCredential: PMHNP
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(701) 234-2000
Fax(701) 234-4137
Sole ProprietorYes
Enumeration DateAugust 18, 2021
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1477229573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ND · R39988
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License R39988 (ND)
2400 32ND AVE S, Fargo, ND 58103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Noel Larson Pmhnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo
4.2 mi
Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1952323974 (701) 234-4700

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 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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.

JASON C MYRMOE MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8779
DANA L STEGMILLER PA-C
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
DARSHAN SINGH KHANGURA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-7980
KIMBERLY CRANDALL RN, BSN, CDE
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2245
NAOMI SCHULDT DNP, APRN, FNP-C
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2000
RANDALL A KENNINGER MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
SOPHIA JUELL MS
Speech-Language Pathologist
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-4300
JEFFREY ALLEN RONDEAU MD
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8880

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 Kelsey Larson's NPI number?

The NPI number for Kelsey Larson is 1477229573. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Kelsey Larson located?

Kelsey Larson practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-2000.

What is Kelsey Larson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelsey Larson enrolled in Medicare?

Yes. Kelsey Larson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Larson reassigns Medicare benefits to Sanford Medical Center Fargo (Fargo, ND). 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 Kelsey Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Larson accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kelsey 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 Kelsey Larson was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.