CRYSTAL ANN LARSON DO
NPI 1982990453
Psychiatry & Neurology - Psychiatry in Boise, ID

Q: What is Crystal Larson's NPI number?

The NPI number for Crystal Larson is 1982990453. It was assigned to this individual provider in the NPPES registry on June 23, 2011. The provider is also known as Crystal Ann Fesenbek.

Q: What is Crystal Larson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Larson was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 June 23, 2011PECOS EnrolledAccepts Medicare Assignment

6348 W EMERALD ST, BOISE, ID 83704(208) 302-0900(208) 302-0955 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2021, Sep 14, 2020, Jul 23, 2020 and 2 more (5 updates tracked since 2017).

On this page

About Crystal Ann Larson Do NPPES

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

CRYSTAL ANN LARSON DO (NPI 1982990453) is an individual psychiatry provider in Boise, Idaho, licensed in Idaho (O-1357) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1982990453

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameCRYSTAL ANN LARSONCredential: DO

Location Address6348 W EMERALD STBoise, ID 83704-8732

Mailing Address3340 E Goldstone DrMeridian, ID 83642 · (208) 302-0900 · Fax (208) 302-0955

Phone(208) 302-0900

Fax(208) 302-0955

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 23, 2011

Last NPPES UpdateMay 14, 20215 updates tracked since enumeration

NPPES CertifiedMay 14, 2021

✔ NPI 1982990453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in ID · O-1357✔ Licensed in KS · 7704✔ Licensed in OR · DO170871

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

6348 W EMERALD ST, Boise, ID 83704

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Other Names 1

Former Name (1)Crystal Ann Fesenbek

Secondary Practice Location 1

Location 1131 N Allumbaugh StBoise, ID 83704 · Phone (208) 302-0900 · Fax (208) 302-0955

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Crystal Ann 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 ID2062669955

PECOS Enrollment IDI20200511001707

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

254 services63 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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

$160.17 typical visit price

range $52.44 – $160.17

Typical copayment $40.04 (range $13.11 – $40.04)

Most-billed visit code 99205

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XAVIER AL-MATEEN

Student in an Organized Health Care Education/Training Program