MR. LARRY LEE II BOUSQUET (FNP) – Nurse Practitioner, NPI 1205544871
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for MR. LARRY LEE II BOUSQUET (FNP)
1611 E JOY LN
FORT MOHAVE, AZ 864268807
Phone: (928) 768-9496
Type: Mailing
1611 E JOY LN # 1
FORT MOHAVE, AZ 864268807
Phone: (928) 768-9496
Fax: (928) 768-1943
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $549.
Total Amount is formed as General ($549) + Research ($0) + Ownership ($0) = $549.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Novo Nordisk Inc ($204).
Total Amount
$549
General + Research + Ownership
Payments
30
Total payment records
General Amount
$549
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $204 |
| Amgen Inc. | $83 |
| PFIZER INC. | $55 |
| Exact Sciences Corporation | $37 |
| Lilly USA, LLC | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230109002573 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 220 | 171 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 117 | 117 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 83 | $0 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 60 | 60 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 86426)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Anesthesiology, Interventional Pain Management, Pain Management | CA | |
| Physician Assistant | TN | |
| Orthopedic Surgery | AZ | |
| Orthopedic Surgery, Sports Medicine | NV | |
| Nurse Practitioner | AZ | |
| Interventional Pain Management, Anesthesiology | AZ | |
| Nurse Practitioner | AZ | |
| P O D I A T R Y | AZ | |
| Nurse Practitioner | AZ | |
| Orthopedic Surgery, Hand Surgery | NV |
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