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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

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

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: July 19, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.