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MRS. ANDREA KAY LARSEN DDS
NPI 1629362017
Dentist in Beaver Dam, WI

Active since June 03, 2011PECOS Enrolled
210 MADISON ST, BEAVER DAM, WI 53916(920) 885-6066 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Andrea Kay Larsen Dds NPPES

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

MRS. ANDREA KAY LARSEN DDS (NPI 1629362017) is an individual dentist in Beaver Dam, Wisconsin, licensed in Wisconsin (6701-15) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629362017
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMRS. ANDREA KAY LARSENCredential: DDS
Location Address210 MADISON STBeaver Dam, WI 53916-2310
Mailing Address210 Madison StBeaver Dam, WI 53916-2310 · (920) 885-6066
Phone(920) 885-6066
Sole ProprietorYes
Enumeration DateJune 3, 2011
Last NPPES UpdateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1629362017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6701-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
210 MADISON ST, Beaver Dam, WI 53916
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Andrea Kay Larsen Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrea Larsen's NPI number?

The NPI number for Andrea Larsen is 1629362017. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Andrea Larsen located?

Andrea Larsen practices at 210 Madison St, Beaver Dam, WI 53916. The listed phone number is (920) 885-6066.

What is Andrea Larsen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Andrea Larsen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrea Larsen was last updated on February 1, 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.