NICOLE ANNA LARSEN PA-C
NPI 1023770013
Physician Assistant in New York, NY

Active since October 07, 2021PECOS Enrolled
30 W 24TH ST FL 2, NEW YORK, NY 10010(212) 366-5100 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Anna Larsen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ANNA LARSEN PA-C (NPI 1023770013) is an individual physician assistant in New York, New York and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023770013
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ANNA LARSENCredential: PA-C
Location Address30 W 24TH ST FL 2New York, NY 10010-3560
Mailing Address163 William StNew York, NY 10038-2613 · (212) 618-6052
Sole ProprietorNo
Enumeration DateOctober 7, 2021
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1023770013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30 W 24TH ST FL 2, New York, NY 10010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Anna Larsen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
30 W 24TH ST FL 2
NEW YORK, NY 10010
Family Medicine (Sports Medicine)
30 W 24TH ST FL 2
NEW YORK, NY 10010
Internal Medicine (Sports Medicine)
30 W 24TH ST FL 2
NEW YORK, NY 10010
Family Medicine (Sports Medicine)
30 W 24TH ST FL 2
NEW YORK, NY 10010
Family Medicine (Sports Medicine)
30 W 24TH ST FL 2
NEW YORK, NY 10010
Physical Therapist (Orthopedic)
30 W 24TH ST FL 2
NEW YORK, NY 10010
Physical Medicine & Rehabilitation
30 W 24TH ST FL 2
NEW YORK, NY 10010
Physician Assistant
30 W 24TH ST FL 2
NEW YORK, NY 10010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Larsen's NPI number?

The NPI number for Nicole Larsen is 1023770013. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Nicole Larsen located?

Nicole Larsen practices at 30 W 24th St Fl 2, New York, NY 10010. The listed phone number is (212) 366-5100.

What is Nicole Larsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Larsen enrolled in Medicare?

Yes. Nicole Larsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Larsen was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.