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STEPHANIE SHEVANNE LARSEN
NPI 1770373383
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since May 07, 2025PECOS Enrolled
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025(310) 361-8043(310) 986-8241 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2026, Mar 5, 2026, Nov 7, 2025 and 3 more (6 updates tracked since 2025).

About Stephanie Shevanne Larsen NPPES

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

STEPHANIE SHEVANNE LARSEN (NPI 1770373383) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95035782) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770373383
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTEPHANIE SHEVANNE LARSEN
Location Address1849 SAWTELLE BLVD STE 610Los Angeles, CA 90025-7013
Mailing Address1849 Sawtelle Blvd Ste 610Los Angeles, CA 90025-7013 · (310) 361-8043 · Fax (310) 986-8241
Phone(310) 361-8043
Fax(310) 986-8241
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 7, 2025
Last NPPES UpdateJune 17, 20266 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1770373383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95035782
1849 SAWTELLE BLVD STE 610, Los Angeles, CA 90025
Open in Google Maps ↗

Secondary Practice Location 1

Location 16330 San Vicente Blvd Ste 510Los Angeles, CA 90048-5455 · Phone (310) 361-8043 · Fax (310) 986-8241

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Shevanne Larsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315434347
PECOS Enrollment IDI20251014002623
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

2

Medicare enrollment records show Stephanie Larsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nueva Vida Psychiatry, A Professional Nursing Corporation
Same address
Psychiatric/Mental Health
1849 SAWTELLE BLVD STE 610
Los Angeles, CA 90025
  • Reassigned Medicare billing, California enrollment
NPI 1568318582 (310) 361-8043
Century City Psychiatry
1.7 mi
Psychiatry
10323 SANTA MONICA BLVD STE 108
Los Angeles, CA 90025
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1508658022 (310) 340-0089

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 90025 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

MINKYUNG SO
Marriage & Family Therapist
1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA 90025
Los Angeles County (310) 853-8211
DANIELLE NAY LPCC, LMFT
Marriage & Family Therapist
1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA 90025
Los Angeles County (310) 264-6646
DR. KATIE JEAN FLANIGAN-LANDEROS PSY.D.
Psychologist (Clinical)
1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA 90025
Los Angeles County (310) 425-5950
ELYSSA HAYS
Marriage & Family Therapist
1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA 90025
Los Angeles County (610) 216-7402
LAUREN NICCOLE THOMAS MS
Marriage & Family Therapist
1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA 90025
Los Angeles County (818) 426-8863
MS. HANOUF A. ALAHMARI MA, LMFT
Marriage & Family Therapist
1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA 90025
Los Angeles County (424) 361-9895
DR. CAROLINE K DIEHL PHD
Psychologist (Clinical)
1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA 90025
Los Angeles County (424) 273-5091
DR. CRYSTAL LUNA PSYD
Psychologist (Clinical)
1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA 90025
Los Angeles County (818) 232-2933

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 Stephanie Larsen's NPI number?

The NPI number for Stephanie Larsen is 1770373383. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Stephanie Larsen located?

Stephanie Larsen practices at 1849 Sawtelle Blvd Ste 610, Los Angeles, CA 90025. The listed phone number is (310) 361-8043.

What is Stephanie Larsen's specialty?

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

Is Stephanie Larsen enrolled in Medicare?

Yes. Stephanie Larsen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Larsen reassigns Medicare benefits to 2 organizations: Nueva Vida Psychiatry, A Professional Nursing Corporation (Los Angeles, CA) and Century City Psychiatry (Los Angeles, CA). 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 Stephanie Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Larsen was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.