Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN - Medicare Nurse Practitioner in Afton, WY

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Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN is a medicare enrolled "Nurse Practitioner - Family" in Afton, Wyoming. His current practice location is 901 Adams St, Afton, Wyoming. You can reach out to his office (for appointments etc.) via phone at (885) 885-5800.

Mr Mark Wayne Larsen is licensed to practice in Wyoming (license number 1758.1758) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689166266.

Contact Information

Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN
901 Adams St,
Afton, WY 83110-9621
(885) 885-5800
Not Available

Map and Direction




Provider's Profile

Full NameMr Mark Wayne Larsen
GenderMale
SpecialityNurse Practitioner - Family
Location901 Adams St, Afton, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689166266
  • Provider Enumeration Date: 05/31/2018
  • Last Update Date: 05/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8325395296
  • Enrollment ID: I20180724000964

Medical Identifiers

Medical identifiers for Mr Mark Wayne Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689166266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1758.1758 (Wyoming)Primary

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. Mr Mark Wayne Larsen allows following entities to bill medicare on his behalf.
Entity NameNorth Lincoln County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730132523
PECOS PAC ID: 4789580218
Enrollment ID: O20031208000415

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. Mr Mark Wayne Larsen 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
Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN
585 W 7615 S,
Willard, UT 84340-9525

Ph: (435) 979-7546		Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN
901 Adams St,
Afton, WY 83110-9621

Ph: (885) 885-5800

Reviews and Comments


Nurse Practitioner Nurses in Afton, WY

Mrs. Susan M. Miner, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 47 Doc Perkes, Afton, WY 83110
Phone: 307-883-5500    
Shathena Bryanne Meeder, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 125 S Washington St, Afton, WY 83110
Phone: 307-886-5266    
Jennifer Lee Mckinney, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 389 Adams St, Afton, WY 83110
Phone: 307-885-9883    Fax: 307-885-5206

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.