MARIELLE CHLOE ALINE LARSEN PA-C
NPI 1861182503
Physician Assistant in Moses Lake, WA

Q: What is Marielle Larsen's NPI number?

The NPI number for Marielle Larsen is 1861182503. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Q: What is Marielle Larsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marielle Larsen was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 08, 2023PECOS EnrolledAccepts Medicare Assignment

605 S COOLIDGE ST, MOSES LAKE, WA 98837(435) 557-6842 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2025, Nov 8, 2024, May 8, 2023 (3 updates tracked since 2023).

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About Marielle Chloe Aline Larsen Pa-c NPPES

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

MARIELLE CHLOE ALINE LARSEN PA-C (NPI 1861182503) is an individual physician assistant in Moses Lake, Washington, licensed in Washington (PA.PA.61631353) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861182503

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIELLE CHLOE ALINE LARSENCredential: PA-C

Location Address605 S COOLIDGE STMoses Lake, WA 98837-1873

Mailing Address650 N 600 EProvo, UT 84606-1912

Phone(435) 557-6842

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 8, 2023

Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1861182503 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 WA · PA.PA.61631353

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.

605 S COOLIDGE ST, Moses Lake, WA 98837

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Marielle Chloe Aline 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 ID1254852940

PECOS Enrollment IDI20250318001261

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.

Hospital Affiliations CMS Care Compare

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

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500033

Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

MOSES LAKE COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))