Individual provider Active NPI

Kelly Ann Larsen, CRNA, DNAP, MSN

  • Certified Registered Nurse Anesthetist
  • Scottsdale, AZ
National Provider Identifier
1801245246
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA1231 Issued in AZ
Practice address
9023 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-6779
Phone
(480) 407-6400
Fax
(480) 407-6520
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA1231 AZ Primary

Addresses

Primary practice location

9023 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-6779

Mailing address

4622 E Le Marche Ave
Phoenix, AZ 85032-4218
Phone (619) 971-0312

Other practice location 1

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160831001305 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234425281 Reassigns benefits to 7 organizations
I20200122003036 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234425281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians
Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians
Union Hills Pain Partners LLCGroup PAC ID 5092024836, 8 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

14674 W Mountain View Blvd
Suite 210
Surprise, AZ 85374-2708
Phone (480) 420-4027

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 561-7102

4727 E Union Hills Dr
Suite 300
Phoenix, AZ 85050-3387
Phone (480) 207-3737

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Merit-based Incentive Payment System (MIPS)

Final score
63.31 of 100Reported as group
Quality
74.88
Improvement activities
0
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
CRNA1231AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Hospital Based Physicians LLC CurrentSince May 16, 2023 Accepting new patients
Columbia Anesthesia Group P S CurrentSince Jan 1, 2020 Accepting new patients
Legacy Anesthesia LLC CurrentSince Jan 11, 2021 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince May 16, 2023 Accepting new patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Oct 28, 2023 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Pacific Sonoran Anesthesia LLC CurrentSince Sep 23, 2020 Accepting new patients
Union Hills Pain Partners LLC CurrentSince Nov 1, 2025 Accepting new patients
Pinnacle Injury Care, LLC PastSince Apr 25, 2021 Accepting new patients

Locations (25 of 26)

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

17505 N 79th Ave
Ste 304E
Glendale, AZ 85308

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

9151 W Thunderbird Rd
Ste 104
Peoria, AZ 85381
Phone (623) 242-6697

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

20045 N 19th Ave
Bldg 12
Phoenix, AZ 85027
Phone (602) 313-8110

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

4727 E Union Hills Dr
Ste 300
Phoenix, AZ 85050
Phone (480) 207-3737

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

9023 E Desert Cove Ave
Ste 101
Scottsdale, AZ 85260
Phone (480) 860-5000

9815 N 95th St
Scottsdale, AZ 85258
Phone (800) 626-7054

8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

14674 W Mountain View Blvd
Ste 210
Surprise, AZ 85374
Phone (623) 546-1400

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Organizations & group practices 10

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 1

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1801245246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 E LE MARCHE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324218",
            "telephone_number": "619-971-0312",
            "fax_number": "480-407-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 E DESERT COVE AVE STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606779",
            "telephone_number": "480-407-6400",
            "fax_number": "480-407-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "CRNA, DNAP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.