AMY LARSEN (PA-C) – Medical Physician Assistant, NPI 1669873634
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for AMY LARSEN (PA-C)
12108 SE 31ST ST APT F101
BELLEVUE, WA 980055108
Phone: (843) 991-6692
Type: Mailing
1135 116TH AVE NE STE 500
BELLEVUE, WA 980044627
Phone: (425) 635-6560
Type: Location
5405 WARBLER LN
WEST RICHLAND, WA 993535732
Phone: (843) 991-6692
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Abbott Laboratories ($170).
Total Amount
$170
General + Research + Ownership
Payments
1
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $170 |
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: 2025-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20161018001664 | I | Physician Assistant | WA | TBD |
| I20240924000207 | I | Physician Assistant | VA | TBD |
| I20241130000186 | I | Physician Assistant | OH | TBD |
| I20241231001577 | I | Physician Assistant | AZ | TBD |
| I20250109001526 | I | Physician Assistant | NY | TBD |
| I20250115003520 | I | Physician Assistant | AL | TBD |
| I20250303000863 | I | Physician Assistant | MI | TBD |
| I20250717000317 | I | Physician Assistant | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | PA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | TX | |
| Neurology, Nuclear Medicine | CA | |
| Neurology, Psychiatry, Neurology | NY | |
| Psychiatry, Neurology | OH | |
| Nurse Practitioner | TN |
Reviews
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