Individual provider Active NPI

Lauren Ryley Larson, PA-C

  • Physician Assistant
  • Billings, MT
National Provider Identifier
1679353122
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
129848 Issued in MT
Practice address
602 Henry Chapple St
Billings, MT 59106-1874
Phone
(406) 901-2300
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 129848 MT Primary

Addresses

Primary practice location

602 Henry Chapple St
Billings, MT 59106-1874

Mailing address

1545 Lakers Way Apt 2
Billings, MT 59106-8556
Phone (406) 850-9193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20231116001326 MT Practitioner - Physician Assistant 4880041680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SCL Health Medical Group - Billings LLCGroup PAC ID 9638491574, 291 clinicians

Practice addresses (Care Compare)

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913

16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270

602 Henry Chapple St
Billings, MT 59106-1874
Phone (406) 901-2440

Hospital & facility affiliations

  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
129848MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings LLC CurrentSince Nov 6, 2023 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Nov 6, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

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 2

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1679353122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 LAKERS WAY APT 2",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591068556",
            "telephone_number": "406-850-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HENRY CHAPPLE ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591061874",
            "telephone_number": "406-901-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LAUREN",
        "middle_name": "RYLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "129848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.