ANDREW STUART LARSON DO
NPI 1700635109
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Active since May 16, 2024PECOS Enrolled
819 S 13TH ST, MOUNT VERNON, WA 98274(636) 489-9713 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Stuart Larson Do NPPES

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

ANDREW STUART LARSON DO (NPI 1700635109) is an individual student in an organized health care education/training program in Mount Vernon, Washington and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700635109
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW STUART LARSONCredential: DO
Location Address819 S 13TH STMount Vernon, WA 98274-4112
Mailing Address6890 S Maverick CirCottonwood Heights, UT 84121-3302 · (636) 489-9713
Sole ProprietorNo
Enumeration DateMay 16, 2024
NPPES CertifiedMay 14, 2024
NPI 1700635109 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.
819 S 13TH ST, Mount Vernon, WA 98274

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrew Stuart Larson Do 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
819 S 13TH ST
MOUNT VERNON, WA 98274
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274

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 Andrew Larson's NPI number?

The NPI number for Andrew Larson is 1700635109. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Andrew Larson located?

Andrew Larson practices at 819 S 13th St, Mount Vernon, WA 98274. The listed phone number is (636) 489-9713.

What is Andrew 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 Andrew Larson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Larson was last updated on May 16, 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.