Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Blaise Larson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1497120349

Charles Blaise Larson, FNP-BC is a Nurse Practitioner in Twin Falls, Idaho. Qualified in 2015, 11 years ago. Practices with Gem State ENT PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2015
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

730 N College Rd Ste B
Twin Falls, ID 83301-3382
Phone: (208) 814-7350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1716A (ID)

Record details

NPI number1497120349
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedDecember 3, 2015
Last updated in NPPESMay 9, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Gem State Ent Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Twin Falls