ELIZABETH ANN LARSEN (APRN) – Family Nurse Practitioner, NPI 1093770562
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for ELIZABETH ANN LARSEN (APRN)
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
1055 N 500 W BLDG A
PROVO, UT 846043305
Phone: (801) 812-5033
Fax: (801) 812-5034
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,362.
Total Amount is formed as General ($1,362) + Research ($0) + Ownership ($0) = $1,362.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($646).
Total Amount
$1,362
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,362
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $646 |
| Lilly USA, LLC | $163 |
| Organon LLC | $102 |
| Tris Pharma Inc | $60 |
| GlaxoSmithKline, LLC. | $51 |
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: 2008-04-22
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 |
|---|---|---|---|---|
| I20080422000231 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 21 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 30 | 19 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 20 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 15 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 15 | 12 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Internal Medicine | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Osteopathic Manipulative Medicine, Internal Medicine | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT |
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