MS. LARISSA BEYERLEIN M.D.
NPI 1902110232
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT

Active since July 28, 2010PECOS Enrolled
295 CHIPETA WAY, DEPARTMENT OF PEDIATRIC EMERGENCY MEDICINE, SALT LAKE CITY, UT 84158(801) 587-7436(801) 587-7455 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Larissa Beyerlein M.d. NPPES

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

MS. LARISSA BEYERLEIN M.D. (NPI 1902110232) is an individual pediatric emergency medicine provider in Salt Lake City, Utah, licensed in Utah (8637381-1205) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902110232
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameMS. LARISSA BEYERLEINCredential: M.D.
Location Address295 CHIPETA WAY, DEPARTMENT OF PEDIATRIC EMERGENCY MEDICINESalt Lake City, UT 84158
Mailing Address295 Chipeta Way, Suite 200, Pediatric Emergency MedicineSalt Lake City, UT 84158 · (801) 587-7436 · Fax (801) 587-7455
Fax(801) 587-7455
Sole ProprietorNo
Enumeration DateJuly 28, 2010
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1902110232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in UT · 8637381-1205
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
295 CHIPETA WAY, Salt Lake City, UT 84158

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Larissa Beyerlein M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Larissa Beyerlein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
911 NORTHLAND DR
Princeton, MN 55371
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group

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

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 Larissa Beyerlein's NPI number?

The NPI number for Larissa Beyerlein is 1902110232. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Larissa Beyerlein located?

Larissa Beyerlein practices at 295 Chipeta Way Department Of Pediatric Emergency Medicine, Salt Lake City, UT 84158. The listed phone number is (801) 587-7436.

What is Larissa Beyerlein's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Larissa Beyerlein enrolled in Medicare?

Yes. Larissa Beyerlein is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Larissa Beyerlein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Beyerlein reassigns Medicare benefits to Fairview Health Services (Princeton, MN). The 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 Larissa Beyerlein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larissa Beyerlein accept?

Health plans from Sanford Health Plan list Larissa Beyerlein 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 Larissa Beyerlein was last updated on December 16, 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.