Individual provider Active NPI

Kaci Rae Larsen, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1437509759
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64070 Issued in AZ
Practice address
1300 N 12TH St Ste 404
Phoenix, AZ 85006-2866
Phone
(800) 233-3264
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64070 AZ Primary
Family Medicine Physician 207Q00000X 2018044700 MO

Addresses

Primary practice location

1300 N 12TH St Ste 404
Phoenix, AZ 85006-2866

Mailing address

25500 N Norterra Dr
Phoenix, AZ 85085-8200
Phone (623) 277-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211124001354 AZ Practitioner - Family Practice 3274825120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

1300 N 12TH St
Suite 404
Phoenix, AZ 85006-2866
Phone (800) 233-3264

6220 W Bell Rd
Glendale, AZ 85308-3896

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64070AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc CurrentSince Oct 18, 2021 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

13481 W McDowell Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 536-3720

9191 W Thunderbird Rd
Ste D105
Peoria, AZ 85381
Phone (623) 849-3811

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

7831 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 312-2265

9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

710 W Bell Rd
Phoenix, AZ 85023
Phone (602) 588-3710

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Interoperability endpoints

  • Direct secure messaging: klarsen28555@evernorth.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1437509759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N NORTERRA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858200",
            "telephone_number": "623-277-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST STE 404",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062866",
            "telephone_number": "800-233-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "KACI",
        "middle_name": "RAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "64070",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018044700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.