PAUL ROBERT LARSON NP
NPI 1629134960
Nurse Practitioner - Family in East Wenatchee, WA
About Paul Robert Larson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL ROBERT LARSON NP (NPI 1629134960) is an individual family provider in East Wenatchee, Washington, licensed in Minnesota (R1340646) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paul Robert Larson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Paul Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wenatchee, WA 98801
- Reassigned Medicare billing, Washington enrollment
- 558 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
EAST WENATCHEE, WA 98802
E WENATCHEE, WA 98802
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 Paul Larson's NPI number?
The NPI number for Paul Larson is 1629134960. It was assigned to this individual provider in the NPPES registry on December 29, 2006.
Where is Paul Larson located?
Paul Larson practices at 100 Highline Dr, East Wenatchee, WA 98802. The listed phone number is (509) 884-0641.
What is Paul Larson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Paul Larson enrolled in Medicare?
Yes. Paul Larson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Paul Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Larson reassigns Medicare benefits to Wenatchee Valley Hospital (Wenatchee, WA). 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 Paul Larson'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 Paul Larson was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Paul Robert Larson, NP · NPI 1629134960
Family physician in East Wenatchee, Washington. Individual provider, active in the CMS NPPES registry since December 29, 2006.
## Identity
- **NPI:** 1629134960 (Entity type: Individual)
- **Enumerated:** December 29, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R1340646 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 HIGHLINE DR, East Wenatchee, WA 98802-5341
- **Phone:** (509) 884-0641
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wenatchee Valley Hospital (NPI 1669719688, Wenatchee, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2022
- **Other identifiers:** Medicaid 1629134960 (WA); Other 316364 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629134960) · Data from the CMS NPPES public registry.