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BRENNEN LARSEN PA-C
NPI 1740659010
Physician Assistant in Rexburg, ID

Active since September 17, 2015PECOS EnrolledAccepts Medicare Assignment
21 WINN DR, REXBURG, ID 83440(208) 881-5222(877) 441-4715 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brennen Larsen Pa-c NPPES

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

BRENNEN LARSEN PA-C (NPI 1740659010) is an individual physician assistant in Rexburg, Idaho, licensed in Arizona (6141) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740659010
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRENNEN LARSENCredential: PA-C
Location Address21 WINN DRRexburg, ID 83440-5277
Mailing Address21 Winn DrRexburg, ID 83440-5277 · (208) 881-5222 · Fax (887) 441-4715
Phone(208) 881-5222
Fax(877) 441-4715
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 17, 2015
Last NPPES UpdateNovember 19, 2019
✔ NPI 1740659010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 6141
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21 WINN DR, Rexburg, ID 83440
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health and more.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

Brennen Larsen Pa-c 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 ID6608172853
PECOS Enrollment IDI20170109001928
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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services68 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
48 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services18 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.
16 services16 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$107.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

AUSTIN C GILLETTE
Family Medicine
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
KELLY L DUSTIN DO
Family Medicine
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
FALL RIVER MEDICAL, PLLC
Clinic/Center (Primary Care)
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
DR. SHELBY ELIZABETH NORDMANN MD
Family Medicine
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
JEREMIAH D BUEHNER PA
Physician Assistant
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
JOSHUA L GILGEN PA-C
Physician Assistant
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222

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 Brennen Larsen's NPI number?

The NPI number for Brennen Larsen is 1740659010. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Brennen Larsen located?

Brennen Larsen practices at 21 Winn Dr, Rexburg, ID 83440. The listed phone number is (208) 881-5222.

What is Brennen Larsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brennen Larsen enrolled in Medicare?

Yes. Brennen Larsen 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.

What insurance does Brennen Larsen accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan, Select Health and University of Utah Health Plans list Brennen Larsen 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.

Is Brennen Larsen affiliated with any hospitals?

According to CMS data, Brennen Larsen is affiliated with Madison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brennen Larsen was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.