James C. Larsen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4487A Issued in WY

Practice address

713 Oak St.
Sundance, WY 82729-0517

Phone

(307) 283-3501

Fax

(307) 283-2255

NPI assigned

Jan 29, 2007

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Emergency Medicine

Education

Creighton University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crook County Medical Services DistrictGroup PAC ID 9234032483, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Crook County Medical Services District

  • Nursing Care Agency
  • Sundance, WY
  • NPI 1114086402

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Bates Family Diversified, LLC

  dba Three Rivers Clinic

  • Rural Health Clinic/Center
  • Three Forks, MT
  • NPI 1003466822

  Contracted Managing Employee

  CMS ownership

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.

• Crook County Medical Services District

  • Critical Access Hospital
  • Sundance, WY
  • NPI 1871660159
  Medicare reassignment Care Compare group NPD
• Bozeman Health Urgent Care

  • Urgent Care Clinic/Center
  • Bozeman, MT
  • NPI 1740693761
  NPD
• Family Doctors Urgent Care LLC

  • Family Medicine Physician
  • Bozeman, MT
  • NPI 1942361860
  NPD
• Crook County Medical Services District

  • Nursing Care Agency
  • Sundance, WY
  • NPI 1114086402
  NPD (past)
• Crook County Medical Services District

  • Family Medicine Physician
  • Moorcroft, WY
  • NPI 1447328638
  NPD (past)
• Peak Health and Wellness, PLLC

  dba Nova Health

  • Urgent Care Clinic/Center
  • Belgrade, MT
  • NPI 1902181563
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1760528855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290517",
            "telephone_number": "307-283-3501",
            "fax_number": "307-283-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 OAK ST.",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290517",
            "telephone_number": "307-283-3501",
            "fax_number": "307-283-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JAMES",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "4487A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "810542541",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillside Pharmacy
• Hope and Wellness Connection
• Kenda Michelle Huseby, DNP, NP-C
• Veronica L Kramer, PT
• Lapis Luna Mind and Body Center LLC
• Joni Joyce Latham
• Penny Lepley, CMT, CNHP
• Kathy Loveland
• Micki Dahne Lyons, NP-C
• Materi Chiropractic Center, LLC

• Family Medicine Physician in Sundance, WY
• Providers in Sundance, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.