SAVANNAH MARGUERITE LARSEN CRNA
NPI 1346969870
Nurse Anesthetist, Certified Registered in Pueblo, CO
NPI Status: Active since August 26, 2022
Contact Information
58 CLUB MANOR DR
PUEBLO, CO
ZIP 81008
Phone: (719) 584-4054
Fax: (719) 542-0809
- Individual
- Female
- Years of Experience 2
- Nurse Anesthetist, Certified Registered
- Accepts Medicare Approved Payment
About SAVANNAH LARSEN
This page provides the complete NPI Profile along with additional information for Savannah Larsen, a provider established in Pueblo, Colorado with a medical specialization in Nurse Anesthetist, Certified Registered and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1346969870 assigned on August 2022. The practitioner's primary taxonomy code is 367500000X with license number APN.0999819-CRNA (CO). The provider is registered as an individual and her NPI record was last updated May 2025.
- NPI
- 1346969870
- Provider Name
- SAVANNAH MARGUERITE LARSEN CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 58 CLUB MANOR DR PUEBLO, CO 81008
- Location Phone
- (719) 584-4054
- Location Fax
- (719) 542-0809
- Mailing Address
- PO BOX 738382 DALLAS, TX 75373
- Mailing Phone
- (719) 584-4045
- Mailing Fax
- (719) 542-0809
- Medical School Name
- OTHER
- Graduation Year
- 2024
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-26-2022
- Last Update Date
- 05-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- APN.0999819-CRNA
- License State
- CO
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 163W00000X | Nursing Service Providers | Registered Nurse | 236529-30 (WI) |
Medicare Participation & PECOS Enrollment Status
Savannah Larsen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8820535537
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240730004527
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 4 | 6 | 9 | 6 | 9 | 8 | 7 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 8 | 6 | 18 | 6 | 18 | 8 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 8 + 6 + 1 + 8 + 6 + 1 + 8 + 8 + 1 + 4 + 24 = 80 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1346969870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1376165001 | JUN HUNG DO Individual | Anesthesiology | 58 CLUB MANOR DR PUEBLO, CO 81008 (719) 584-4045 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346969870, enumerated in the NPI registry as an "individual" on August 26, 2022
The provider is located at 58 Club Manor Dr Pueblo, Co 81008 and the phone number is (719) 584-4054
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 2 years of experience.
This NPI record was last updated on August 26, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.