Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberlie Larson, RN, BSN

Individual provider Case Management Registered Nurse · NPI 1679390652

Kimberlie Larson, RN, BSN is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2025, 1 year ago. Practices with St Sophie's LLC, a 9-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
1
Licensed in
ND
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

2101 Elm St N
Fargo, ND 58102-2417
Phone: (218) 234-6600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 202733 (ND)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence R38487 (ND)

Record details

NPI number1679390652
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address2101 Elm St N, Fargo, ND 58102-2417

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St. Sophie'S Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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