DR. CODY LEE LARSEN DC
NPI 1477387538
Chiropractor in Knoxville, TN

Active since August 29, 2024Accepts Medicare Assignment
5804 E GOVERNOR JOHN SEVIER HWY, KNOXVILLE, TN 37924(865) 951-2811 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Cody Lee Larsen Dc NPPES

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

DR. CODY LEE LARSEN DC (NPI 1477387538) is an individual chiropractor in Knoxville, Tennessee, licensed in Tennessee (3855) and active in the NPI registry since August 2024. He is a graduate of Palmer College Chiropractic - Davenport (2022).

NPPES Registry Identity

NPI1477387538
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CODY LEE LARSENCredential: DC
Location Address5804 E GOVERNOR JOHN SEVIER HWYKnoxville, TN 37924-3605
Mailing Address5804 E Governor John Sevier HwyKnoxville, TN 37924-3605 · (865) 951-2811
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2022
Enumeration DateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1477387538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TN · 3855
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5804 E GOVERNOR JOHN SEVIER HWY, Knoxville, TN 37924

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. Cody Lee Larsen 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.

PECOS PAC ID7810474004
PECOS Enrollment IDI20260120000440

Medicare Billing Reassignment

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

Chiropractor
1777 W MAIN ST STE 107
Sun Prairie, WI 53590
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 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.

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.

Chiropractor
5804 E GOVERNOR JOHN SEVIER HWY
KNOXVILLE, TN 37924
Chiropractor
5804 E GOVERNOR JOHN SEVIER HWY
KNOXVILLE, TN 37924

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 Cody Larsen's NPI number?

The NPI number for Cody Larsen is 1477387538. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Where is Cody Larsen located?

Cody Larsen practices at 5804 E Governor John Sevier Hwy, Knoxville, TN 37924. The listed phone number is (865) 951-2811.

What is Cody Larsen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Cody Larsen enrolled in Medicare?

Yes. Cody 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 Cody Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Larsen reassigns Medicare benefits to Pro Health Chiropractic LLC (Sun Prairie, 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 Cody Larsen'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 Cody Larsen was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.