SHANNAN NICOLE LARSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1750701009
Certified Registered Nurse Anesthetist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA
Provider Addresses for SHANNAN NICOLE LARSON (CRNA)
200 Hawkins Dr
Iowa City, IA 522421009
Phone: (563) 271-9660
Type: Location
2350 Hospital Dr
Webster City, IA 505956600
Phone: (515) 832-9400
Fax: (515) 832-9494
Type: Location
PO BOX 843032
KANSAS CITY, MO 641843032
Phone: (913) 642-4900
Fax: (913) 381-0979
Type: Mailing
404 JEFFERSON ST
PELLA, IA 50219
Phone: (641) 628-6634
Fax: (641) 621-2458
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Averitas Pharma Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $19 |
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: 2016-08-02
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 |
|---|---|---|---|---|
| I20160802002688 | I | Certified Registered Nurse Anesthetist (Crna) | IA | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 86 | 83 | $0 |
| G2083 | Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, | 21 | 11 | $0 |
Insurance plans in this area (ZIP 52242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA |
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