Shannan Nicole Larson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Pella, IA

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Shannan Nicole Larson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Pella, Iowa. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice M And M Anesthesia, Llc, Ikc Llc and her current practice location is 404 Jefferson St, Pella, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 628-6634.

Shannan Nicole Larson is licensed to practice in Iowa (license number D133501) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750701009.

Contact Information

Shannan Nicole Larson, CRNA
404 Jefferson St,
Pella, IA 50219
(641) 628-6634
(641) 621-2458

Map and Direction




Physician's Profile

Full NameShannan Nicole Larson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience10 Years
Location404 Jefferson St, Pella, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannan Nicole Larson graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1750701009
  • Provider Enumeration Date: 04/24/2014
  • Last Update Date: 10/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052605805
  • Enrollment ID: I20160802002688

Medical Identifiers

Medical identifiers for Shannan Nicole Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750701009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 133501 (Iowa)Secondary
367500000XNurse Anesthetist, Certified Registered D133501 (Iowa)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
M And M Anesthesia, Llc296182359617
Ikc Llc529414085112

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannan Nicole Larson allows following entities to bill medicare on her behalf.
Entity NameKnoxville Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770591661
PECOS PAC ID: 6608787056
Enrollment ID: O20031119000804
Entity NameHamilton County Public Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497957351
PECOS PAC ID: 1254241565
Enrollment ID: O20031216000775
Entity NameRinggold County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700935202
PECOS PAC ID: 7315849973
Enrollment ID: O20040123000414
Entity NameAnesthesia Iowa Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114018983
PECOS PAC ID: 3476443524
Enrollment ID: O20040319001199
Entity NameFranklin General Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1477637759
PECOS PAC ID: 5799693925
Enrollment ID: O20061104000105
Entity NameHamilton County Public Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1295702397
PECOS PAC ID: 1254241565
Enrollment ID: O20061104000151
Entity NameCrawford County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1578555116
PECOS PAC ID: 7810890555
Enrollment ID: O20061104000375
Entity NameRinggold County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1811046568
PECOS PAC ID: 7315849973
Enrollment ID: O20070116000516
Entity NameDallas County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1669477089
PECOS PAC ID: 9931094257
Enrollment ID: O20080124000605
Entity NameMercy Medical Center-newton
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134509292
PECOS PAC ID: 7911803176
Enrollment ID: O20150713000204
Entity NameM & M Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326668328
PECOS PAC ID: 2961823596
Enrollment ID: O20200605001423
Entity NameIkc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659904803
PECOS PAC ID: 5294140851
Enrollment ID: O20210212002431

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannan Nicole Larson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannan Nicole Larson, CRNA
Po Box 843032,
Kansas City, MO 64184-3032

Ph: (913) 642-4900		Shannan Nicole Larson, CRNA
404 Jefferson St,
Pella, IA 50219

Ph: (641) 628-6634

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.