Mrs Alissa Marie Larsen, FNP in Williston, ND

Mrs Alissa Marie Larsen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Williston, North Dakota. Her current practice location is 1301 15th Ave W, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 774-7400.

Mrs Alissa Marie Larsen is licensed to practice in North Dakota (license number F05231087) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528751872.

Contact Information

	Mrs Alissa Marie Larsen, FNP
	1301 15th Ave W, Williston, ND 58801-3821
	(701) 774-7400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alissa Marie Larsen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1301 15th Ave W, Williston, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528751872
Provider Enumeration Date: 06/01/2023
Last Update Date: 06/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1456713320
Enrollment ID: I20230810000417

Medical Identifiers

Medical identifiers for Mrs Alissa Marie Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528751872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F05231087 (North Dakota)	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. Mrs Alissa Marie Larsen allows following entities to bill medicare on her behalf.

Entity Name	Mercy Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336

Entity Name	Mckenzie County Healthcare Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063420495 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016

Entity Name	Mercy Medical Center
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1902824576 PECOS PAC ID: 7416851381 Enrollment ID: O20080307000316

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. Mrs Alissa Marie 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 Address	Practice Location Address
Mrs Alissa Marie Larsen, FNP 1502 6th Ave W, Williston, ND 58801-3910 Ph: (701) 570-9329	Mrs Alissa Marie Larsen, FNP 1301 15th Ave W, Williston, ND 58801-3821 Ph: (701) 774-7400

Reviews and Comments

Nurse Practitioner Nurses in Williston, ND

Elizabeth Ann Skov, FPMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 2nd Ave W, Williston, ND 58801 Phone: 701-774-4600 Fax: 701-774-4620
Evonne A Hickok, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283
Mrs. Cathie Sue Henneberry, F.N.P., APRN-BC, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1213 15th Ave W, Williston, ND 58801 Phone: 701-572-7651
Samantha Lee Ann Brunink, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 23rd St E, Williston, ND 58801 Phone: 307-258-0956
Nana Oforiwaa Boateng, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400
Debra J. Lukenbill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7477 Fax: 701-774-7479
Lauryn Mason, RN, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 406-239-8639

Mrs Alissa Marie Larsen, FNP - Medicare Nurse Practitioner in Williston, ND