KELLY ANN LARSEN (CRNA, DNAP, MSN) – Certified Registered Nurse Anesthetist, NPI 1801245246
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,061 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AZ
Provider Addresses for KELLY ANN LARSEN (CRNA, DNAP, MSN)
1111 E McDowell Rd
Phoenix, AZ 850062612
Phone: (602) 839-2000
Type: Location
East Desert Cove Avenue, Scottsdale, Maricopa County, Arizona, 85260-6568, United States
SCOTTSDALE, AZ 852606779
Phone: (480) 407-6400
Fax: (480) 407-6520
Type: Mailing
4622 E LE MARCHE AVE
PHOENIX, AZ 850324218
Phone: (619) 971-0312
Fax: (480) 407-6520
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160831001305 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | TBD |
| I20200122003036 | I | Certified Registered Nurse Anesthetist (Crna) | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85006)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Certified Registered Nurse Anesthetist (Crna) | AZ |
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