Kelli Larson, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

H154901 Issued in IA

Practice address

5950 University Ave Ste 231
West Des Moines, IA 50266-8233

Phone

(515) 875-9090

NPI assigned

May 30, 2019

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Creighton University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Lucas County Health CenterGroup PAC ID 8921916792, shared by 3 NPIs, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
• Lucas County Health Center Hospital, Chariton, IA, CCN 161341

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellilarson@tic.allscriptsdirect.net
• Direct secure messaging: klarson854417@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Iowa Clinic PC

  dba The Iowa Clinic

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1346233178
  Medicare reassignment Care Compare group NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• The Iowa Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • West Des Moines, IA
  • NPI 1871451328
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Iowa Hospital Corporation

  dba Iowa Lutheran Hospital

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1356433049
  Care Compare affiliation
• Central Iowa Hospital Corporation

  dba Iowa Methodist Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1396837951
  Care Compare affiliation
• Central Iowa Hospital Corporation

  dba Iowa Methodist Medical Center-Methodist West

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1598905762
  Care Compare affiliation
• Lucas County Health Center

  • Critical Access Hospital
  • Chariton, IA
  • NPI 1588636351
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1235797770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 VISTA DR STE 150",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502669317",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE STE 231",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668233",
            "telephone_number": "515-875-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Mercy Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681242319",
            "country_code": "US",
            "telephone_number": "402-398-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KELLI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112689",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H154901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellilarson@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5950 University Ave Ste 231",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502668233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Connor Lee Larsen
• Jacquelyn K Larsen, PHD
• Beth Ann Larson, OT
• Charles C Larson, M.D.
• Kallista Ann Larson
• Christopher Kelley Larue, D.C.
• Allan P Latcham, M.D.
• Sydney Lathrop, ARNP
• Leandra Latimer, CADC
• Allen Gary Laubenthal

• Nurse Practitioner in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.