KIMBERLY RAQUELL LARSON (ARNP) – Family Nurse Practitioner, NPI 1558546135

KIMBERLY RAQUELL LARSON (ARNP) is a healthcare provider. based in Kennewick, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP30008001 (WA). The NPI Number for KIMBERLY RAQUELL LARSON (ARNP) is 1558546135

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY RAQUELL LARSON (ARNP)
NPI
1558546135
Phone
(509) 737-1880
Address
7203 W DESCHUTES AVE
Enumeration Date
2 January 2008
Last Update Date
14 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094605500
Graduation Year
2004 (22 years ago)
PAC ID
2264510205
Group Practice PAC ID
1759278633
Professional Enrollment ID
I20080416000494
Address ID
WA993367193KE8819XAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

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Provider Addresses for KIMBERLY RAQUELL LARSON (ARNP)

  • West Deschutes Avenue, Kennewick, Benton County, Washington, 99301, United States

    KENNEWICK, WA 993367777

    Phone: (509) 737-1880

    Fax: (509) 737-1879

    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 4 Open Payments records for all available years, with a total value of $268.

Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($250).

Total Amount

$268

General + Research + Ownership

Payments

4

Total payment records

General Amount

$268

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2008-04-16

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
I20080416000494INurse PractitionerWATBD

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 minutes313241$0
99213Established patient office or other outpatient visit, 20-29 minutes182158$0
99204New patient office or other outpatient visit, 45-59 minutes114114$0
99202New patient office or other outpatient visit, 15-29 minutes110110$0
99203New patient office or other outpatient visit, 30-44 minutes9191$0
View full utilization report →

Insurance plans in this area (ZIP 99336)

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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: 1759278633View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AR
Gastroenterology, Internal MedicineWA
G A S T R O E N T E R O L O G YWA
Gastroenterology, Internal MedicineWA

Reviews

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Frequently asked questions

What is the standard ID for KIMBERLY RAQUELL LARSON (ARNP) in the U.S.?
In the U.S., KIMBERLY RAQUELL LARSON (ARNP) is identified by NPI 1558546135.
Does the public listing show KIMBERLY RAQUELL LARSON (ARNP) as active?
KIMBERLY RAQUELL LARSON (ARNP)'s NPI record reflects an active status in NPPES.
What services align with KIMBERLY RAQUELL LARSON (ARNP)'s listing?
KIMBERLY RAQUELL LARSON (ARNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KIMBERLY RAQUELL LARSON (ARNP) tied to Kennewick, Washington?
If you are local to Kennewick, Washington, KIMBERLY RAQUELL LARSON (ARNP) may be relevant to your search.
Who maintains KIMBERLY RAQUELL LARSON (ARNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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