| Ms Kaylene Nichole Larson, APRN, CRNA | |
|
301 Becker Ave Sw, Willmar, MN 56201-3302 | |
| (320) 235-4543 | |
| Not Available |
| Full Name | Ms Kaylene Nichole Larson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 301 Becker Ave Sw, Willmar, Minnesota |
| 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 |
|---|---|---|---|
| 1003323304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2163 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Healthcare-clarksville | Clarksville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Medical Group, P.c. | 6901702307 | 388 |
| Entity Name | Anesthesia Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kaylene Nichole Larson, APRN, CRNA 4161 18th Ave S Apt 117, Fargo, ND 58103-7416 Ph: (701) 212-2396 | Ms Kaylene Nichole Larson, APRN, CRNA 301 Becker Ave Sw, Willmar, MN 56201-3302 Ph: (320) 235-4543 |
James Malkuch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-235-4543 | |
Ms. Kimberly Diane Rupp-montpetit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4120 | |
Mr. Grayson Joel Swalin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4130 | |
Eric Julian Peterson, CRNA,MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4120 | |
Donald Glenn Fisher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Becker Ave Sw, Rice Hospital, Willmar, MN 56201 Phone: 320-231-4130 | |
Charles Haupert Ii, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5079 |