| Kelly Ann Larsen, CRNA, DNAP, MSN | |
|
9023 E Desert Cove Ave Ste 101, Scottsdale, AZ 85260-6779 | |
| (480) 407-6400 | |
| (480) 407-6520 |
| Full Name | Kelly Ann Larsen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 9023 E Desert Cove Ave Ste 101, Scottsdale, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801245246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1231 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner - University Hospital Based Physicians Llc | 1052614294 | 287 |
| Greater Anesthesia Solutions | 9234357906 | 166 |
| Anesthesia Partners And Management Llc | 9931429198 | 149 |
| Entity Name | Valley Anesthesiology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Anesthesia Partners & Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706 |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Pacific Sonoran Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467975011 PECOS PAC ID: 4082989801 Enrollment ID: O20171004002791 |
| Entity Name | Legacy Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750945507 PECOS PAC ID: 0143553917 Enrollment ID: O20190610002734 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ann Larsen, CRNA, DNAP, MSN 4622 E Le Marche Ave, Phoenix, AZ 85032-4218 Ph: (619) 971-0312 | Kelly Ann Larsen, CRNA, DNAP, MSN 9023 E Desert Cove Ave Ste 101, Scottsdale, AZ 85260-6779 Ph: (480) 407-6400 |
Brett Theodore Tolpa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Gina Munson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Michael Moskowitz, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Christopher David Hess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Edna Kemboi, DNAP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 Fax: 904-953-0115 | |
Paul Jordan Stievo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E. Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Gertrude F Neill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6906 E Exeter Blvd, Scottsdale, AZ 85251 Phone: 239-000-0000 |