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SHANNAN NICOLE LARSON CRNA
NPI 1750701009
Nurse Anesthetist, Certified Registered in Pella, IA

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
404 JEFFERSON ST, PELLA, IA 50219(641) 628-6634(641) 621-2458 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2021, Mar 31, 2021, Mar 22, 2021 and 3 more (6 updates tracked since 2019).

About Shannan Nicole Larson Crna NPPES

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

SHANNAN NICOLE LARSON CRNA (NPI 1750701009) is an individual nurse anesthetist, certified registered in Pella, Iowa, licensed in Iowa (D133501) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1750701009
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHANNAN NICOLE LARSONCredential: CRNA
Location Address404 JEFFERSON STPella, IA 50219
Mailing AddressPo Box 843032Kansas City, MO 64184-3032 · (913) 642-4900 · Fax (913) 381-0979
Phone(641) 628-6634
Fax(641) 621-2458
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 24, 2014
Last NPPES UpdateOctober 29, 20246 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1750701009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IA · D133501
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 133501 (IA)
404 JEFFERSON ST, Pella, IA 50219
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (563) 271-9660
Location 22350 Hospital DrWebster City, IA 50595-6600 · Phone (515) 832-9400 · Fax (515) 832-9494

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannan Nicole Larson Crna 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 ID1052605805
PECOS Enrollment IDI20160802002688
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Shannan Larson reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Iowa Plc
Same address
Anesthesiology
404 JEFFERSON ST
Pella, IA 50219
  • Reassigned Medicare billing, Iowa enrollment
  • 23 clinicians in this Medicare group
NPI 1114018983 (913) 342-4900
Knoxville Community Hospital Inc
12 mi
Family Medicine
1202 W HOWARD ST
Knoxville, IA 50138
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1922087915 (Iowa)
  • 156 clinicians in this Medicare group
NPI 1578570677 (641) 828-7211
Mercy Medical Center-Newton
21 mi
Orthopaedic Surgery
300 N 4TH AVE E STE 135
Newton, IA 50208
  • Reassigned Medicare billing, Iowa enrollment
  • 18 clinicians in this Medicare group
NPI 1740660802 (641) 787-9276
M & M Anesthesia, LLC
44 mi
Nurse Anesthetist, Certified Registered
8736 NW 27TH CT
Ankeny, IA 50023
  • Reassigned Medicare billing, Iowa enrollment
  • 27 clinicians in this Medicare group
NPI 1326668328 (515) 988-1564
Ikc, LLC
46 mi
Clinic/Center
1701 48TH ST STE 260
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 21 clinicians in this Medicare group
NPI 1659904803 (515) 401-4774
Dallas County Hospital
68 mi
Critical Access
610 10TH ST
Perry, IA 50220
  • Reassigned Medicare billing, Iowa enrollment
  • 62 clinicians in this Medicare group
NPI 1669477089 (515) 465-3547
Hamilton County Public Hospital
72 mi
Rural Health
731 MAIN ST
Jewell, IA 50130
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1497957351 (Iowa)
  • 71 clinicians in this Medicare group
NPI 1851308423 (515) 827-6175
Ringgold County Hospital
84 mi
Critical Access
504 N. CLEVELAND ST.
Mount Ayr, IA 50854
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1356490841 (Iowa)
  • 33 clinicians in this Medicare group
NPI 1811046568 (641) 464-3226
Franklin General Hospital
93 mi
Critical Access
1720 CENTRAL AVE E
Hampton, IA 50441
  • Reassigned Medicare billing, Iowa enrollment
  • 27 clinicians in this Medicare group
NPI 1477637759 (641) 456-5000
Humboldt County Memorial Hospital
114 mi
Critical Access
1000 15TH ST N
Humboldt, IA 50548
  • Reassigned Medicare billing, Iowa enrollment
  • 56 clinicians in this Medicare group
NPI 1194702977 (515) 332-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
52 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50219 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

JOHN LABERNIK DNP, CRNA
Nurse Anesthetist, Certified Registered
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
MARY ELIZABETH PHILLIPS DIETITIAN
Dietitian, Registered
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
ANESTHESIA IOWA PLC
Anesthesiology
404 JEFFERSON ST
PELLA, IA 50219
Marion County (913) 342-4900
MRS. KIMBERLY KAY PICKETT LISW
Social Worker (Clinical)
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
JANA BETH VINK LMSW
Social Worker
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-3150
JENNA KAY ZOSS PA-C
Physician Assistant
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 621-2200
DR. MINDI JO JORGENSON PHARMD
Pharmacist
404 JEFFERSON ST
PELLA, IA 50219
Marion County (641) 628-6616
DR. ALISON JEAN SMITH D.O.
Radiology (Diagnostic Radiology)
404 JEFFERSON ST, MEDICAL IMAGING DEPARTMENT
PELLA, IA 50219
Marion County (641) 628-6622

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 Shannan Larson's NPI number?

The NPI number for Shannan Larson is 1750701009. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is Shannan Larson located?

Shannan Larson practices at 404 Jefferson St, Pella, IA 50219. The listed phone number is (641) 628-6634.

What is Shannan Larson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shannan Larson enrolled in Medicare?

Yes. Shannan Larson 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.

Which organizations bill Medicare for Shannan Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannan Larson reassigns Medicare benefits to 11 organizations: Anesthesia Iowa Plc (Pella, IA), Knoxville Community Hospital Inc (Knoxville, IA), Mercy Medical Center-Newton (Newton, IA), M & M Anesthesia, LLC (Ankeny, IA), Ikc, LLC (West Des Moines, IA) and 6 more organizations, listed in the Medicare section above. Each 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 Shannan Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannan Larson accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Shannan 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 Shannan Larson was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.