SARA LARSEN PMHNP
NPI 1609551720
Nurse Practitioner - Psychiatric/Mental Health in Ammon, ID

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment
2705 E 17TH ST, AMMON, ID 83406(208) 346-7500 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, Jun 16, 2023 (2 updates tracked since 2023).

About Sara Larsen Pmhnp NPPES

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

SARA LARSEN PMHNP (NPI 1609551720) is an individual psychiatric/mental health provider in Ammon, Idaho, licensed in Idaho (N-42254) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609551720
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSARA LARSENCredential: PMHNP
Location Address2705 E 17TH STAmmon, ID 83406-6601
Mailing Address1209 W 5000 NRexburg, ID 83440-3204 · (208) 249-1974
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 16, 2023
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
NPI 1609551720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in ID · N-42254
2705 E 17TH ST, Ammon, ID 83406

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sara Larsen Pmhnp 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 ID9032564158
PECOS Enrollment IDI20231010002238
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83406 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Nurse Practitioner (Psychiatric/Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Peer Specialist
2705 E 17TH ST
AMMON, ID 83406
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406

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 Sara Larsen's NPI number?

The NPI number for Sara Larsen is 1609551720. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Sara Larsen located?

Sara Larsen practices at 2705 E 17th St, Ammon, ID 83406. The listed phone number is (208) 346-7500.

What is Sara Larsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sara Larsen enrolled in Medicare?

Yes. Sara 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.

What insurance does Sara Larsen accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Sara 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 Sara Larsen was last updated on August 7, 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.