MR. NATHAN S LARSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255683777

MR. NATHAN S LARSON (CRNA) is a healthcare provider. based in Saint louis, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2013002285 (MO). The NPI Number for MR. NATHAN S LARSON (CRNA) is 1255683777

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. NATHAN S LARSON (CRNA)
NPI
1255683777
Phone
(417) 829-4620
Address
PO BOX 505164
Enumeration Date
8 October 2012
Last Update Date
16 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184368000
Graduation Year
2012 (14 years ago)
PAC ID
3274779905
Group Practice PAC ID
6709788920
Professional Enrollment ID
I20170912002794
Address ID
IL628013056CE400XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for MR. NATHAN S LARSON (CRNA)

  • PO BOX 505164

    SAINT LOUIS, MO 631505164

    Phone: (417) 829-4620

    Fax: (417) 829-4316

    Type: Mailing

  • 100 HOSPITAL DR

    LEBANON, MO 655369210

    Phone: (417) 533-6100

    Fax: (417) 533-6021

    Type: Location

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: 2017-09-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170912002794ICertified Registered Nurse Anesthetist (Crna)ILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1818$0
00812Anesthesia for exam of colon using an endoscope1717$0
00813Anesthesia for procedure on small and large bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 63150)

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Provider's Procedures

MR. NATHAN S LARSON (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMO00142Anesthesia for lens surgery3333

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709788920View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineIL
Diagnostic RadiologyFL
Certified Registered Nurse Anesthetist (Crna)IL
Diagnostic RadiologyPA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MO
-IN
-IL
A N E S T H E S I O L O G YIL
Mental Health CounselorIL
Internal MedicineIL

Reviews

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Frequently asked questions

How is MR. NATHAN S LARSON (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MR. NATHAN S LARSON (CRNA) with NPI 1255683777.
Can I rely on MR. NATHAN S LARSON (CRNA) being an active provider?
As of the registry snapshot, MR. NATHAN S LARSON (CRNA) is marked active.
What is MR. NATHAN S LARSON (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MR. NATHAN S LARSON (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. NATHAN S LARSON (CRNA)?
MR. NATHAN S LARSON (CRNA)'s geographic hint is Saint Louis, Missouri in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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