Individual provider Active NPI

Lynn C Larsen, FNP

  • Nurse Practitioner
  • Brigham City, UT
National Provider Identifier
1295058501
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2141144405 Issued in UT
Practice address
1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293
Phone
(435) 723-5248
Fax
(435) 723-5240
NPI assigned
Mar 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2141144405 UT Primary

Addresses

Primary practice location

1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293

Mailing address

1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293
Phone (435) 723-5248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20210727003030 UT Practitioner - Nurse Practitioner 1052619665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Arts Center Clinic of Brigham City IncGroup PAC ID 9931000460, 10 clinicians
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

Practice addresses (Care Compare)

1041 S Medical Dr
Suite 200
Brigham City, UT 84302-3293
Phone (435) 723-5248

5290 S 400
Ogden, UT 84405-7194
Phone (801) 476-1777

Hospital & facility affiliations

  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
  • Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2141144405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC CurrentSince Jun 13, 2022 Accepting new patients
Medical Arts Center Clinic of Brigham City Inc Family Medicine CurrentSince Jul 7, 2021 Accepting new patients
Ogden Clinic PC Family Medicine Current Accepting new patients

Locations

1041 S Medical Dr
Ste 200
Brigham City, UT 84302
Phone (435) 723-5248

970 Medical Dr
Ste 300
Brigham City, UT 84302

970 Medical Dr
Ste 309
Brigham City, UT 84302
Phone (385) 238-3375

984 Medical Dr
Ste 1
Brigham City, UT 84302
Phone (435) 723-5248

2132 N Robins Dr
Ste 301
Layton, UT 84041
Phone (801) 775-9990

4403 Harrison Blvd
Ste 1685
Ogden, UT 84403
Phone (801) 387-7165

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

5290 S 400 E
Ogden, UT 84405
Phone (801) 476-1777

1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA
  • Direct secure messaging: lynn.larsen.1@24655.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1295058501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 S MEDICAL DR STE 200",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023293",
            "telephone_number": "435-723-5248",
            "fax_number": "435-723-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 S MEDICAL DR STE 200",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023293",
            "telephone_number": "435-723-5248",
            "fax_number": "435-723-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "LYNN",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "2141144405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.