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CHRISTINA DANIELLE LARSEN
NPI 1568036390
Counselor - Mental Health in Broken Bow, NE

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
525 S 9TH AVE, BROKEN BOW, NE 68822(308) 872-5040(308) 872-5060 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Christina Danielle Larsen NPPES

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

CHRISTINA DANIELLE LARSEN (NPI 1568036390) is an individual mental health provider in Broken Bow, Nebraska, licensed in Nebraska (3867) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Island, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568036390
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTINA DANIELLE LARSEN
Location Address525 S 9TH AVEBroken Bow, NE 68822-2457
Mailing Address2608 Old Fair RdGrand Island, NE 68803-5271 · (308) 382-5297 · Fax (308) 382-5315
Phone(308) 872-5040
Fax(308) 872-5060
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 17, 2021
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1568036390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NE · 3867
525 S 9TH AVE, Broken Bow, NE 68822
Open in Google Maps ↗

Secondary Practice Location 1

Location 12608 Old Fair RdGrand Island, NE 68803-5271 · Phone (308) 382-5297 · Fax (308) 382-5315

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Christina Danielle Larsen 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 ID4486003415
PECOS Enrollment IDI20231215000577
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 Christina Larsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wholeness Healing Center PC
74 mi
Mental Health
2608 OLD FAIR RD
Grand Island, NE 68803
  • Reassigned Medicare billing, Nebraska enrollment
  • 19 clinicians in this Medicare group
NPI 1124130364 (308) 382-5297

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.

MICHELE TAYLOR PLMHP
Counselor (Mental Health)
525 S 9TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-5040
WHOLENESS HEALING CENTER, P.C.
Counselor (Mental Health)
525 S 9TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-5040

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 Christina Larsen's NPI number?

The NPI number for Christina Larsen is 1568036390. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Christina Larsen located?

Christina Larsen practices at 525 S 9th Ave, Broken Bow, NE 68822. The listed phone number is (308) 872-5040.

What is Christina Larsen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Christina Larsen enrolled in Medicare?

Yes. Christina 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 Christina Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christina Larsen reassigns Medicare benefits to Wholeness Healing Center PC (Grand Island, NE). 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 Christina Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christina Larsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list Christina 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.

When was this NPI record last updated?

The NPPES record for Christina Larsen was last updated on October 23, 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.