LYNN C LARSEN (FNP) – Nurse Practitioner, NPI 1295058501

LYNN C LARSEN (FNP) is a healthcare provider. based in Brigham city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2141144405 (UT). The NPI Number for LYNN C LARSEN (FNP) is 1295058501

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
LYNN C LARSEN (FNP)
NPI
1295058501
Phone
(435) 723-5248
Address
984 MEDICAL DR STE 1
Enumeration Date
2 March 2010
Last Update Date
2 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357235248
Graduation Year
2009 (17 years ago)
PAC ID
1052619665
Group Practice PAC ID
9931000460
Professional Enrollment ID
I20210727003030
Address ID
UT843024712BR984XXDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for LYNN C LARSEN (FNP)

  • 984 MEDICAL DR STE 1

    BRIGHAM CITY, UT 843024712

    Phone: (435) 723-5248

    Fax: (435) 723-5240

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 324 Open Payments records for all available years, with a total value of $6,558.

Total Amount is formed as General ($6,558) + Research ($0) + Ownership ($0) = $6,558.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($632).

Total Amount

$6,558

General + Research + Ownership

Payments

324

Total payment records

General Amount

$6,558

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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: 2021-07-27

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
I20210727003030INurse PractitionerUTTBD

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
Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)15,30019$0
J0897Injection, denosumab, 1 mg3,30014$0
J1437Injection, ferric derisomaltose, 10 mg1,10011$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count827298$0
J1100Injection, dexamethasone sodium phosphate, 1 mg75029$0
View full utilization report →

Insurance plans in this area (ZIP 84302)

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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: 9931000460View full group profile
NameSpecialtyState
Family PracticeUT
Nurse PractitionerUT
Nurse PractitionerUT
Family PracticeID
Nurse PractitionerUT
Nurse PractitionerUT
Internal MedicineUT
Family PracticeUT
Family PracticeUT
Physician AssistantVA

Reviews

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Frequently asked questions

Does LYNN C LARSEN (FNP) have a public NPI I can cite?
Public records show LYNN C LARSEN (FNP) under NPI 1295058501.
Should I treat LYNN C LARSEN (FNP) as an active provider?
Patients and plans typically see LYNN C LARSEN (FNP) as active in the national extract.
What type of care does LYNN C LARSEN (FNP) provide?
LYNN C LARSEN (FNP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to LYNN C LARSEN (FNP)?
The directory associates LYNN C LARSEN (FNP) with Brigham City, Utah. Check all listed addresses for suites or satellite offices.
Can I export LYNN C LARSEN (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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