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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
9576 HIGHWAY 70
Minocqua, WI 54548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner (Gerontology)
9576 HWY 70
MINOCQUA, WI 54548
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
Physician Assistant
9576 HWY 70
MINOCQUA, WI 54548
Hospitalist
9576 HWY 70
MINOCQUA, WI 54548
Podiatrist
9576 HWY 70
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.

Which organizations bill Medicare for Michael Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Larson reassigns Medicare benefits to 2 organizations: Mchs Hospitals Inc (Minocqua, WI) and Marshfield Clinic Inc (Marshfield, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Larson accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, 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 13 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.