KIRT W LARSON (MSN,FNP-C) – Family Nurse Practitioner, NPI 1053576504
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIRT W LARSON (MSN,FNP-C)
13352 SOUTH 5600 WEST
HERRIMAN, UT 84096
Phone: (801) 446-2760
Fax: (801) 446-2762
Type: Location
2332, 12600 South, The Meadows, Riverton, Salt Lake County, Utah, 84065, United States
SUITE 2C
RIVERTON, UT 840657161
Phone: (801) 446-2760
Fax: (801) 446-2762
Type: Location
13352, South Rosecrest Road, Herriman, Salt Lake County, Utah, 84096, United States
HERRIMAN, UT 84096
Phone: (801) 446-2760
Fax: (801) 446-2762
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $349.
Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($168).
Total Amount
$349
General + Research + Ownership
Payments
17
Total payment records
General Amount
$349
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $168 |
| Lilly USA, LLC | $78 |
| Novo Nordisk Inc | $34 |
| Abbott Laboratories | $21 |
| Boston Scientific Corporation | $17 |
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: 2005-01-31
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 |
|---|---|---|---|---|
| I20050131000350 | I | Nurse Practitioner | UT | 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 | 59 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 23 | $0 |
Insurance plans in this area (ZIP 84096)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT |
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