Larisa Willden, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

254108 Issued in AZ

Practice address

10503 E Simone Ave
Mesa, AZ 85212-9424

Phone

(623) 670-4378

NPI assigned

Feb 5, 2026

Last updated

Feb 5, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Foot Ankle Specialty Centers, LLC

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
  • NPI 1679603724
  NPD (past)
• Grand Canyon Family Medicine PC

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1164510616
  NPD (past)

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1598616401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 E SIMONE AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129424",
            "telephone_number": "623-670-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 E SIMONE AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129424",
            "telephone_number": "623-670-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLDEN",
        "first_name": "LARISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "254108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindelle L Will, MA, LAC
• Alexandra F. Willard, NP
• Ryan Willard, LAC
• Halle Willden
• Jeffery D Willden, DO
• Susan Willever, N.P.
• Jennyfer Nayeli Willford, NP
• Mihrage Anne Willhauck, NMD
• William E. Deyden, M.D, P.C
• William Kentopp and John J Bodine (Succeed Physical Therapy & Wellness)

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.