Individual provider Active NPI

Nathan L Larson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bellingham, WA
National Provider Identifier
1790030716
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60697482 Issued in WA
Practice address
520 Birchwood Ave Ste a
Bellingham, WA 98225-1700
Phone
(360) 734-3668
Fax
(360) 676-8941
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 860 IA
Foot & Ankle Surgery Podiatrist 213ES0103X PO60697482 WA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 355 NE
Foot & Ankle Surgery Podiatrist 213ES0103X 12-00413 KS

Addresses

Primary practice location

520 Birchwood Ave Ste a
Bellingham, WA 98225-1700

Mailing address

520 Birchwood Ave Ste a
Bellingham, WA 98225-1700
Phone (360) 734-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220000558 WA Practitioner - Podiatry 0244476273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellingham Foot Clinic Inc PSGroup PAC ID 3678769007, 2 clinicians

Practice addresses (Care Compare)

520 Birchwood Ave
Suite a
Bellingham, WA 98225-1700
Phone (360) 734-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue178
Removal of skin lesions1-10
Removal of nail tissue303
Removal or shaving of skin growth73
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
860IAMDFoot & Ankle Surgery Podiatrist
12-00413KSMDFoot & Ankle Surgery Podiatrist
PO60697482WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Foot Clinic Inc PS Foot & Ankle Surgery CurrentSince Mar 1, 2017 Accepting new patients
Birchwood Womens Health PS PastSince Mar 1, 2017 Accepting new patients
Fred Miller James Foot & Ankle Surgery PastSince Jul 1, 2015 Accepting new patients

Locations

520 Birchwood Ave
Bellingham, WA 98225
Phone (360) 734-3668

520 Birchwood Ave
Ste A
Bellingham, WA 98225
Phone (360) 671-7442

Interoperability endpoints

  • Direct secure messaging: nathan@bfaac-wa.direct.office.nextgen.com

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 3

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1790030716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BIRCHWOOD AVE STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251700",
            "telephone_number": "360-734-3668",
            "fax_number": "360-676-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BIRCHWOOD AVE STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251700",
            "telephone_number": "360-734-3668",
            "fax_number": "360-676-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "NATHAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "860",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60697482",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "355",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KS",
            "license": "12-00413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.