KAITLIN JESSICA LARSON DO
NPI 1891358479
Surgery - Trauma Surgery in Phoenix, AZ

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5011 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlin Jessica Larson Do NPPES

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

KAITLIN JESSICA LARSON DO (NPI 1891358479) is an individual trauma surgery provider in Phoenix, Arizona, licensed in Arizona (011938) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Alabama College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1891358479
Entity TypeIndividualFemale
Primary Taxonomy2086S0127X
Provider Legal NameKAITLIN JESSICA LARSONCredential: DO
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address2631 N 70th PlScottsdale, AZ 85257-1343
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2018
Enumeration DateApril 18, 2019
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1891358479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in AZ · 011938
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License 011938 (AZ)
2601 E ROOSEVELT ST, Phoenix, AZ 85008

Secondary Practice Location 1

Location 118701 N 67th AveGlendale, AZ 85308-7100 · Phone (623) 561-7983

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

Kaitlin Jessica Larson Do 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 ID5698271898
PECOS Enrollment IDI20251006001004
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.

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.

Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

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 Kaitlin Larson's NPI number?

The NPI number for Kaitlin Larson is 1891358479. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Kaitlin Larson located?

Kaitlin Larson practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.

What is Kaitlin Larson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Kaitlin Larson enrolled in Medicare?

Yes. Kaitlin 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.

When was this NPI record last updated?

The NPPES record for Kaitlin Larson was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.