Grace Rebecca Larsen, ARNP
Individual provider Active NPI Family Nurse Practitioner · Brewster, WA
NPI 1891759411 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1891759411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP30004121 (WA)
- Practice address
- 418 Main St.
Brewster, WA 98812 - Phone
- (509) 689-8900
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Washington Health Services Association
Wenatchee Valley Hospital
Practice addresses (Care Compare)
1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208
418 W Main St
Brewster, WA 98812
Phone (509) 689-8900
Hospital & facility affiliations
- Encompass Health Home Health
- Confluence Health Hospital
- Three Rivers Hospital
- Mid Valley Hospital & Clinic
- Lake Chelan Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20100106000693 | WA | Practitioner - Nurse Practitioner | 1052452505 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current |
Accepting new patients | |
| Central Washington Health Services Association | Current |
Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Central Washington Medical Associates | Past | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Past | Accepting new patients | |
| Main Street Health Associates, P.S. | Past | Accepting new patients |
Locations
303 Cottage Ave
Cashmere, WA 98815
Phone (509) 782-1541
840 E Hill Ave
Moses Lake, WA 98837
Phone (509) 764-6400
916 Koala Dr
Omak, WA 98841
Phone (509) 826-1800
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
100 Highline Dr
Wenatchee, WA 98802
Phone (509) 884-0614
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
707 N Emerson Ave
Wenatchee, WA 98801
Phone (509) 662-6109
1116 State Route 20
Winthrop, WA 98862
Phone (509) 996-8180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30004121 | WA | Yes |
Addresses
Primary practice location
418 Main St.
Brewster, WA 98812
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 689-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0293307 | Other | WA | L&I |
| 1891759411 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GLARSEN17253@EDIRECT.CHEHR.ORG | ||
| FHIR URL | https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/ |
Other providers in Brewster, WA
- Kyle M. Gillespie, O.D., LTD.
- L Keith Hanson PLLC
- L R Bryant Medical Corp
- L. Keith Hanson PLLC
- Robert Thomas Lamberton
- Greg L Ledgerwood
- Angel Karen Lund
- Patrick Lynch
- Bethany Lynn
- Main Street Health Associates, P.S.
All providers in Brewster, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. 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.