DR. NICOLE LYNN LARSON DNP, APRN, PMHNP-BC
NPI 1720048317
Nurse Practitioner - Psychiatric/Mental Health in West St Paul, MN

Active since March 27, 2006PECOS Enrolled
149 THOMPSON AVE E STE 150, WEST ST PAUL, MN 55118(651) 450-0860(651) 450-0759 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2022, Apr 26, 2022 (2 updates tracked since 2022).

About Dr. Nicole Lynn Larson Dnp, Aprn, Pmhnp-bc NPPES

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

DR. NICOLE LYNN LARSON DNP, APRN, PMHNP-BC (NPI 1720048317) is an individual psychiatric/mental health provider in West St Paul, Minnesota, licensed in Minnesota (1563) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720048317
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. NICOLE LYNN LARSONCredential: DNP, APRN, PMHNP-BC
Location Address149 THOMPSON AVE E STE 150West St Paul, MN 55118-3238
Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496
Fax(651) 450-0759
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateOctober 21, 20222 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
NPI 1720048317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MN · 1563
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 1574425 (MN)
149 THOMPSON AVE E STE 150, West St Paul, MN 55118

Other Names 1

Former Name (1)Nicole Lynn Lynch

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicole Lynn Larson Dnp, Aprn, Pmhnp-bc 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 55118 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Counselor (Professional)
149 THOMPSON AVE E STE 150
WEST ST PAUL, MN 55118
Psychologist (Clinical)
149 THOMPSON AVE E STE 150
WEST ST PAUL, MN 55118
Social Worker (Clinical)
149 THOMPSON AVE E STE 150
WEST ST PAUL, MN 55118
Pharmacy (Long Term Care Pharmacy)
149 THOMPSON AVE E STE 150
WEST ST PAUL, MN 55118
Counselor (Professional)
149 THOMPSON AVE E STE 150
WEST ST PAUL, MN 55118
Nurse Practitioner (Psychiatric/Mental Health)
149 THOMPSON AVE E STE 150
WEST ST PAUL, MN 55118
Social Worker (Clinical)
149 THOMPSON AVE E STE 150
WEST ST PAUL, MN 55118
Psychiatry & Neurology (Psychiatry)
149 THOMPSON AVE E STE 150
WEST ST PAUL, MN 55118

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 Nicole Larson's NPI number?

The NPI number for Nicole Larson is 1720048317. It was assigned to this individual provider in the NPPES registry on March 27, 2006. The provider is also known as Nicole Lynn Lynch.

Where is Nicole Larson located?

Nicole Larson practices at 149 Thompson Ave E Ste 150, West St Paul, MN 55118. The listed phone number is (651) 450-0860.

What is Nicole Larson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Larson enrolled in Medicare?

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

What insurance does Nicole Larson accept?

Health plans from HealthPartners and Providence Health Plan list Nicole Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Larson was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.