CAMRYN ELIZABETH LARSEN PA
NPI 1114764826
Physician Assistant - Medical in Aurora, CO

Q: What is Camryn Larsen's NPI number?

The NPI number for Camryn Larsen is 1114764826. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Q: What is Camryn Larsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Camryn Larsen was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 10, 2024PECOS Enrolled

12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Jul 10, 2024 (2 updates tracked since 2024).

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About Camryn Elizabeth Larsen Pa NPPES

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

CAMRYN ELIZABETH LARSEN PA (NPI 1114764826) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0009690) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Omaha, and is a graduate of University Of Nebraska College Of Medicine (2025).

NPPES Registry Identity

NPI1114764826

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCAMRYN ELIZABETH LARSENCredential: PA

Location Address12605 E 16TH AVEAurora, CO 80045-2545

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 848-0000

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2025

Enumeration DateJuly 10, 2024

Last NPPES UpdateApril 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1114764826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · PA.0009690

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

12605 E 16TH AVE, Aurora, CO 80045

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Secondary Practice Location 1

Location 142nd and Emile StOmaha, NE 68198-0001 · Phone (402) 559-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camryn Elizabeth Larsen Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395213888

PECOS Enrollment IDI20260504005104

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.

KEVIN BRADLEY ROTHCHILD MD

Surgery (Trauma Surgery)