AMANDA ANN LARSEN MD
NPI 1992333868
Psychiatry & Neurology - Neurology in Murray, UT

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
5171 S COTTONWOOD ST STE 810, MURRAY, UT 84107(801) 507-9800 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 26, 2025, Mar 5, 2025, Sep 17, 2021 and 1 more (4 updates tracked since 2020).

About Amanda Ann Larsen Md NPPES

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

AMANDA ANN LARSEN MD (NPI 1992333868) is an individual neurology provider in Murray, Utah, licensed in Utah (12401792-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1992333868
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameAMANDA ANN LARSENCredential: MD
Location Address5171 S COTTONWOOD ST STE 810Murray, UT 84107-5705
Mailing AddressPo Box 27128Salt Lake City, UT 84132-0001
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateNovember 26, 20254 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1992333868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in UT · 12401792-1205
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5171 S COTTONWOOD ST STE 810, Murray, UT 84107

Other Names 1

Former Name (1)Amanda Ellgen Md

Secondary Practice Location 1

Location 1175 N Medical Drive EastSalt Lake City, UT 84132-0001 · Phone (801) 585-5405

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Ann Larsen Md 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 ID42615106
PECOS Enrollment IDI20240610002832
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 Reassignments

5

Medicare enrollment records show Amanda Larsen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
5171 S COTTONWOOD ST, STE 720
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
Neurology
175 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
Specialist
688 23 1/2 ROAD, SUITE 201
Grand Junction, CO 81505
  • Reassigned Medicare billing, Colorado enrollment
  • 90 clinicians in this Medicare group
Primary Care
10 ROBINSON LN
Red Lodge, MT 59068
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Scl Health Montana
  • 186 clinicians in this Medicare group
Rural Health
55 N MONTANA AVE
Absarokee, MT 59001
  • Reassigned Medicare billing, Montana enrollment
  • 438 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.

Hospital Affiliations CMS Care Compare 3

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

Psychiatry & Neurology (Neurology)
5171 S COTTONWOOD ST STE 810
MURRAY, UT 84107
Psychiatry & Neurology (Neurology)
5171 S COTTONWOOD ST STE 810
SALT LAKE CITY, UT 84107
Psychiatry & Neurology (Neurology)
5171 S COTTONWOOD ST STE 810
MURRAY, UT 84107
Nurse Practitioner
5171 S COTTONWOOD ST STE 810
MURRAY, UT 84107
Psychiatry & Neurology (Vascular Neurology)
5171 S COTTONWOOD ST STE 810
MURRAY, UT 84107
Nurse Practitioner
5171 S COTTONWOOD ST STE 810
SALT LAKE CITY, UT 84107
Psychiatry & Neurology (Neurology)
5171 S COTTONWOOD ST STE 810
MURRAY, UT 84107
Psychologist (Clinical)
5171 S COTTONWOOD ST STE 810
SALT LAKE CITY, UT 84107

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 Amanda Larsen's NPI number?

The NPI number for Amanda Larsen is 1992333868. It was assigned to this individual provider in the NPPES registry on March 27, 2020. The provider is also known as Amanda Ellgen MD.

Where is Amanda Larsen located?

Amanda Larsen practices at 5171 S Cottonwood St Ste 810, Murray, UT 84107. The listed phone number is (801) 507-9800.

What is Amanda Larsen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Amanda Larsen enrolled in Medicare?

Yes. Amanda Larsen 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.

Which organizations bill Medicare for Amanda Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Larsen reassigns Medicare benefits to 5 organizations: Ihc Health Services Inc (Murray, UT), University Of Utah Adult Services (Salt Lake City, UT), Colorado West Healthcare System (Grand Junction, CO), St. Vincent Healthcare (Red Lodge, MT) and Scl Health Medical Group - Billings LLC (Absarokee, MT). Each 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 Amanda Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Larsen accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and UnitedHealthcare list Amanda Larsen 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.

Is Amanda Larsen affiliated with any hospitals?

According to CMS data, Amanda Larsen is affiliated with Lds Hospital, Logan Regional Hospital and Spanish Fork Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Larsen was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.