KIMBERLY D. LARSON (WHCNP) – Women's Health Nurse Practitioner, NPI 1972545978

KIMBERLY D. LARSON (WHCNP) is a healthcare provider. based in Medford, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials WHCNP. They hold a License No. 200250159NP (OR). The NPI Number for KIMBERLY D. LARSON (WHCNP) is 1972545978

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY D. LARSON (WHCNP)
NPI
1972545978
Phone
(541) 864-8900
Address
3170 STATE ST
Enumeration Date
12 June 2006
Last Update Date
27 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415004747
Graduation Year
2002 (24 years ago)
PAC ID
6709856297
Group Practice PAC ID
5991223273
Professional Enrollment ID
I20040730000802
Address ID
OR975048474ME2850XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for KIMBERLY D. LARSON (WHCNP)

  • 3170, State Street, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975048450

    Phone: (541) 864-8900

    Fax: (541) 245-3315

    Type: Location

  • 128, East Nevada Street, Verde Village, Ashland, Jackson County, Oregon, 97520, United States

    ASHLAND, OR 975201024

    Phone: (541) 864-8900

    Fax: (541) 245-3315

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $461.

Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($255).

Total Amount

$461

General + Research + Ownership

Payments

9

Total payment records

General Amount

$461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-30

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
I20040730000802INurse PractitionerORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes185128$0
99203New patient office or other outpatient visit, 30-44 minutes6868$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination6464$0
Q0111Wet mounts, including preparations of vaginal, cervical or skin specimens1916$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1616$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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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: 5991223273View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)OR
Certified Nurse Midwife (Cnm)OR

Reviews

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Frequently asked questions

Is KIMBERLY D. LARSON (WHCNP) listed with a National Provider Identifier?
Yes — KIMBERLY D. LARSON (WHCNP) has NPI 1972545978 on file in the registry.
Is KIMBERLY D. LARSON (WHCNP) still an active registrant?
KIMBERLY D. LARSON (WHCNP) carries an active NPI according to the public dataset.
How would a patient describe KIMBERLY D. LARSON (WHCNP)'s focus?
For KIMBERLY D. LARSON (WHCNP), the primary taxonomy reads as Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Oregon is KIMBERLY D. LARSON (WHCNP) registered?
Use Medford, Oregon as the headline location for KIMBERLY D. LARSON (WHCNP) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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