Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RYAN GREGORY LARSEN MD
NPI 1578131827
Student in an Organized Health Care Education/Training Program in Kearney, NE

Active since June 14, 2021PECOS Enrolled
123 W 31ST STREET, KEARNEY, NE 68847(308) 237-7719(308) 236-6975 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 31, 2026, Jun 14, 2021 (2 updates tracked since 2021).

About Dr. Ryan Gregory Larsen Md NPPES

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

DR. RYAN GREGORY LARSEN MD (NPI 1578131827) is an individual student in an organized health care education/training program in Kearney, Nebraska and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578131827
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RYAN GREGORY LARSENCredential: MD
Location Address123 W 31ST STREETKearney, NE 68847-2916
Mailing Address123 W 31st StreetKearney, NE 68847-2916 · (402) 559-4284 · Fax (402) 559-6529
Fax(308) 236-6975
Sole ProprietorNo
Enumeration DateJune 14, 2021
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
NPI 1578131827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
123 W 31ST STREET, Kearney, NE 68847

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ryan Gregory Larsen Md 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.

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 Ryan Larsen's NPI number?

The NPI number for Ryan Larsen is 1578131827. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Ryan Larsen located?

Ryan Larsen practices at 123 W 31st Street, Kearney, NE 68847. The listed phone number is (308) 237-7719.

What is Ryan Larsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Larsen enrolled in Medicare?

Yes. Ryan Larsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Larsen was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.