MICHAEL E M LARSON PHD
NPI 1063514057
Psychologist in Minocqua, WI

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
9576 HWY 70, MINOCQUA, WI 54548(715) 358-1194(715) 358-1188 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael E M Larson Phd NPPES

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

MICHAEL E M LARSON PHD (NPI 1063514057) is an individual psychologist in Minocqua, Wisconsin, licensed in Wisconsin (2224) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1998).

NPPES Registry Identity

NPI1063514057
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICHAEL E M LARSONCredential: PHD
Location Address9576 HWY 70Minocqua, WI 54548-9067
Mailing Address1000 N Oak AveMarshfield, WI 54449-5777 · (715) 387-5511
Fax(715) 358-1188
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1998
Enumeration DateSeptember 1, 2006
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1063514057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 2224
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
9576 HWY 70, Minocqua, WI 54548

Other Identifiers 1

Medicaid39129100WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael E M Larson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638209570
PECOS Enrollment IDI20100618000825
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.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
9576 HWY 70
MINOCQUA, WI 54548
Obstetrics & Gynecology
9576 HWY 70
MINOCQUA, WI 54548
Pediatrics
9576 HWY 70
MINOCQUA, WI 54548
Physician Assistant
9576 HWY 70
MINOCQUA, WI 54548
Hospitalist
9576 HWY 70
MINOCQUA, WI 54548
Podiatrist
9576 HWY 70
MINOCQUA, WI 54548
Radiology (Diagnostic Radiology)
9576 HWY 70
MINOCQUA, WI 54548
Pediatrics
9576 HWY 70, DEPARTMENT OF PEDIATRICS
MINOCQUA, WI 54548

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 Michael Larson's NPI number?

The NPI number for Michael Larson is 1063514057. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Michael Larson located?

Michael Larson practices at 9576 Hwy 70, Minocqua, WI 54548. The listed phone number is (715) 358-1194.

What is Michael Larson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Larson enrolled in Medicare?

Yes. Michael Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Larson accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Sanford Health Plan, Security Health Plan and UnitedHealthcare list Michael Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Larson was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.