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

LARRY LAWAYNE MINOR FNP
NPI 1700397650
Nurse Practitioner - Family in Phoenix, AZ

Active since October 18, 2017PECOS Enrolled
4169 E CHOLLA CANYON DR, PHOENIX, AZ 85044(480) 495-5940 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2026, Oct 28, 2017, Oct 18, 2017 (3 updates tracked since 2017).

About Larry Lawayne Minor Fnp NPPES

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

LARRY LAWAYNE MINOR FNP (NPI 1700397650) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP10495) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1700397650
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLARRY LAWAYNE MINORCredential: FNP
Location Address4169 E CHOLLA CANYON DRPhoenix, AZ 85044-6712
Mailing Address4169 E Cholla Canyon DrPhoenix, AZ 85044-6712 · (480) 495-5940
Phone(480) 495-5940
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 18, 2017
Last NPPES UpdateJuly 19, 20263 updates tracked since enumeration
✔ NPI 1700397650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP10495
4169 E CHOLLA CANYON DR, Phoenix, AZ 85044
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Other Names 1

Professional Name (2)Larry Lawayne Minor Fnp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Larry Lawayne Minor Fnp 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 ID7012276314
PECOS Enrollment IDI20180810002403
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 85044 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Larry Minor's NPI number?

The NPI number for Larry Minor is 1700397650. It was assigned to this individual provider in the NPPES registry on October 18, 2017. The provider is also known as Larry Lawayne Minor Fnp.

Where is Larry Minor located?

Larry Minor practices at 4169 E Cholla Canyon Dr, Phoenix, AZ 85044. The listed phone number is (480) 495-5940.

What is Larry Minor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Larry Minor enrolled in Medicare?

Yes. Larry Minor 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.

When was this NPI record last updated?

The NPPES record for Larry Minor was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.