Individual provider Active NPI

Larissa S Koll, CRNA

  • Certified Registered Nurse Anesthetist
  • Bossier City, LA
National Provider Identifier
1275865271
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP06033 Issued in LA
Practice address
2400 Hospital Dr
Bossier City, LA 71111-2385
Phone
(318) 212-7000
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP06033 LA Primary

Addresses

Primary practice location

2400 Hospital Dr
Bossier City, LA 71111-2385

Mailing address

2400 Hospital Dr
Bossier City, LA 71111-2385
Phone (318) 212-7000

Other practice location 1

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0000

Other identifiers 1

IdentifierTypeStateIssuer
2100556MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TN, KY, CO, ME, MT6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20100625000495 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103955844 Reassigns benefits to 4 organizations
I20220802003636 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103955844 Reassigns benefits to 1 organization
I20230208001783 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103955844 Reassigns benefits to 1 organization
I20230629002589 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103955844 Reassigns benefits to 1 organization
I20250307002909 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103955844
I20250428003887 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103955844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health Shreveport, LLCGroup PAC ID 7416207196, 64 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0000

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

Hospital & facility affiliations

  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Ochsner Lsu Health Shreveport-St Mary Medical Cent Hospital, Shreveport, LA, CCN 190317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Apr 26, 2022 Accepting new patients
University Health Shreveport LLC CurrentSince Jun 19, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Apr 17, 2025 Accepting new patients
Natchitoches Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2024 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2023 Accepting new patients
Billings Clinic CurrentSince Apr 17, 2025 Accepting new patients
Christus Health Northern Louisiana Nurse Anesthetist, Certified Registered Current Accepting new patients
Willis Knighton Medical Center Inc. Crna Group Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2010 Accepting new patients
Eastern Maine Medical Center CurrentSince Mar 18, 2025 Accepting new patients
Christus Health Northern Louisiana CurrentSince Jul 5, 2024 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince May 30, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince Mar 18, 2025 Accepting new patients
Christus Health Northern Louisiana CurrentSince Jul 5, 2024 Accepting new patients
North Caddo Anesthesia Billing Nurse Anesthetist, Certified Registered Past Accepting new patients
Med-Trans Corporation Past Accepting new patients

Locations

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

489 State St
Bangor, ME 04401
Phone (207) 973-8837

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1275865271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-212-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-212-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-626-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLL",
        "first_name": "LARISSA",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP06033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100556",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.