MRS. ALISSA MARIE LARSEN FNP
NPI 1528751872
Nurse Practitioner - Family in Williston, ND

Active since June 01, 2023PECOS EnrolledAccepts Medicare Assignment
1301 15TH AVE W, WILLISTON, ND 58801(701) 774-7400 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Alissa Marie Larsen Fnp NPPES

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

MRS. ALISSA MARIE LARSEN FNP (NPI 1528751872) is an individual family provider in Williston, North Dakota, licensed in North Dakota (F05231087) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Mckenzie County Healthcare Systems Inc, and is a graduate of University Of North Dakota School Of Medicine (2023).

NPPES Registry Identity

NPI1528751872
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ALISSA MARIE LARSENCredential: FNP
Location Address1301 15TH AVE WWilliston, ND 58801-3821
Mailing Address1502 6th Ave WWilliston, ND 58801-3910 · (701) 570-9329
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2023
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1528751872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ND · F05231087
1301 15TH AVE W, Williston, ND 58801

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

Mrs. Alissa Marie Larsen Fnp 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 ID1456713320
PECOS Enrollment IDI20230810000417
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 Reassignments

2

Medicare enrollment records show Alissa Larsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1301 15TH AVE W
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1902824576 (North Dakota)
  • 268 clinicians in this Medicare group
Urgent Care
1542 16TH ST W STE 300
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1518988948 (North Dakota)
  • 108 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckenzie County Healthcare Systems Inc

Critical Access Hospitals · Watford City, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351302
Location709 4th Ave NEWatford City, ND 58854 · Mckenzie County
Emergency services

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351334
Location1301 15th Ave WWilliston, ND 58801 · Williams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58801 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.

Pharmacist
1301 15TH AVE W
WILLISTON, ND 58801
Physician Assistant (Medical)
1301 15TH AVE W
WILLISTON, ND 58801
Student in an Organized Health Care Education/Training Program
1301 15TH AVE W
WILLISTON, ND 58801
Physical Therapist
1301 15TH AVE W
WILLISTON, ND 58801
Emergency Medicine
1301 15TH AVE W
WILLISTON, ND 58801
Home Health
1301 15TH AVE W
WILLISTON, ND 58801
Occupational Therapist
1301 15TH AVE W
WILLISTON, ND 58801
Nurse Practitioner (Family)
1301 15TH AVE W
WILLISTON, ND 58801

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 Alissa Larsen's NPI number?

The NPI number for Alissa Larsen is 1528751872. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Alissa Larsen located?

Alissa Larsen practices at 1301 15th Ave W, Williston, ND 58801. The listed phone number is (701) 774-7400.

What is Alissa Larsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alissa Larsen enrolled in Medicare?

Yes. Alissa 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 organizations bill Medicare for Alissa Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alissa Larsen reassigns Medicare benefits to 2 organizations: Mercy Medical Center (Williston, ND) and Mckenzie County Healthcare Systems Inc (Williston, ND). Each 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 Alissa Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alissa Larsen accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Alissa Larsen 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.

Is Alissa Larsen affiliated with any hospitals?

According to CMS data, Alissa Larsen is affiliated with Mckenzie County Healthcare Systems Inc and Chi St Alexius Health Williston.

When was this NPI record last updated?

The NPPES record for Alissa Larsen was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.