Brittany Nichole Larson, CNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Worthington, MN
NPI 1700565819 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1700565819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10534 (MN)
- Practice address
- 1680 Diagonal Rd
Worthington, MN 56187-1008 - Phone
- (507) 372-3800
- Fax
- (507) 372-3806
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health Network
Practice addresses (Care Compare)
1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-3800
1680 Diagonal Rd
Worthington, MN 56187-1008
Phone (507) 372-3800
249 5TH St E
Tracy, MN 56175-1536
Phone (507) 629-8400
251 5TH St E
Tracy, MN 56175-1536
Phone (507) 629-8400
Hospital & facility affiliations
- Sanford Worthington Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024000842 | MN | Practitioner - Nurse Practitioner | 6305292657 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10534 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Locations
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100
1680 Diagonal Rd
Worthington, MN 56187
Phone (507) 372-3800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10534 | MN | Yes |
Addresses
Primary practice location
1680 Diagonal Rd
Worthington, MN 56187-1008
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Worthington, MN
- Nicole Joann Kremer
- Sandra J Krier
- Jacob Krohn
- Sanket Shrikar Kunde
- Gerardo Pulmano Lantoria III
- Emily Ann Learing
- Howard Leibowitz
- Lewis Chiropractic Clinic
- Alettie Jane Lewis
- Karen M Lewis
All providers in Worthington, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.