MADELYN ROSE LARSON
NPI 1669233953
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since January 23, 2024PECOS Enrolled
4610 X ST, SACRAMENTO, CA 95817(916) 816-2553 Get Directions Write a Review

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

About Madelyn Rose Larson NPPES

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

MADELYN ROSE LARSON (NPI 1669233953) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669233953
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADELYN ROSE LARSON
Location Address4610 X STSacramento, CA 95817-2200
Mailing Address4610 X StSacramento, CA 95817-2200 · (916) 816-2553
Sole ProprietorNo
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
NPI 1669233953 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.
4610 X ST, Sacramento, CA 95817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madelyn Rose Larson 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.

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.

Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Emergency Medicine
4610 X ST
SACRAMENTO, CA 95817
Specialist
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817

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 Madelyn Larson's NPI number?

The NPI number for Madelyn Larson is 1669233953. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Madelyn Larson located?

Madelyn Larson practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (916) 816-2553.

What is Madelyn Larson's specialty?

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

Is Madelyn Larson enrolled in Medicare?

Yes. Madelyn Larson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madelyn Larson was last updated on January 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.