BRANDON H LARSEN FNP, RN
NPI 1730532573
Nurse Practitioner - Family in Portland, OR

Q: What is Brandon Larsen's NPI number?

The NPI number for Brandon Larsen is 1730532573. It was assigned to this individual provider in the NPPES registry on July 17, 2016.

Q: What is Brandon Larsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Larsen was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2016PECOS EnrolledAccepts Medicare Assignment

3036 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212(503) 283-3763 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2026, Aug 28, 2020, Dec 10, 2019 and 3 more (6 updates tracked since 2016).

On this page

About Brandon H Larsen Fnp, Rn NPPES

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

BRANDON H LARSEN FNP, RN (NPI 1730532573) is an individual family provider in Portland, Oregon, licensed in New York (341515-1) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1730532573

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRANDON H LARSENCredential: FNP, RN

Location Address3036 NE MARTIN LUTHER KING JR BLVDPortland, OR 97212-3053

Mailing AddressPo Box 8459Portland, OR 97207-8459

Phone(503) 283-3763

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2017

Enumeration DateJuly 17, 2016

Last NPPES UpdateMarch 11, 20266 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1730532573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 341515-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 704261 (NY)

3036 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97212

Open in Google Maps ↗

Secondary Practice Location 1

Location 14212 SE Division St Ste 100Portland, OR 97206-1680 · Phone (503) 238-7166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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

Brandon H Larsen Fnp, Rn 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 ID941587208

PECOS Enrollment IDI20200113002602

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

57 services26 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

34 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380007

Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County

Emergency services Birthing friendly

Adventist Health Portland

Acute Care Hospitals · Portland, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380060

Location10123 SE Market StreetPortland, OR 97216 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97212 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

Leave this field empty

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID MCCAULEY

Case Manager/Care Coordinator