MRS. BRANDY LEEANN LARSON DDS
NPI 1750450227
Dentist in Cass Lake, MN
About Mrs. Brandy Leeann Larson Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BRANDY LEEANN LARSON DDS (NPI 1750450227) is an individual dentist in Cass Lake, Minnesota, licensed in Minnesota (D12356) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Brandy Leeann Larson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brandy Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cass Lake, MN 56633
- Reassigned Medicare billing, Texas enrollment
- 98 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56633 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CASS LAKE, MN 56633
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 Brandy Larson's NPI number?
The NPI number for Brandy Larson is 1750450227. It was assigned to this individual provider in the NPPES registry on November 7, 2006. The provider is also known as Miss Brandy Leeann Wheeler Dds.
Where is Brandy Larson located?
Brandy Larson practices at 425 7th St NW Cass Lake Indian Hospital, Cass Lake, MN 56633. The listed phone number is (218) 335-3234.
What is Brandy Larson's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Brandy Larson enrolled in Medicare?
Yes. Brandy Larson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brandy Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandy Larson reassigns Medicare benefits to Department Of Health & Human Services Phs Ihs (Cass Lake, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandy Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandy Larson accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Brandy 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 Brandy Larson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Brandy Leeann Larson, DDS · NPI 1750450227
Dentist provider in Cass Lake, Minnesota. Individual provider, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1750450227 (Entity type: Individual)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** D12356 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 425 7TH ST NW, CASS LAKE INDIAN HOSPITAL, Cass Lake, MN 56633-3360
- **Phone:** (218) 335-3234 · **Fax:** (218) 335-3368
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Department Of Health & Human Services Phs Ihs (NPI 1194754382, Cass Lake, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1750450227) · Data from the CMS NPPES public registry.