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DR. ELISE CHRISTINE BRODIN LARSON MD
NPI 1124087622
Family Medicine in Fridley, MN

Active since March 22, 2006PECOS Enrolled
5130 MAIN ST NE, FRIDLEY, MN 55421(612) 216-1471(833) 972-1587 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2024, May 14, 2020 (2 updates tracked since 2020).

About Dr. Elise Christine Brodin Larson Md NPPES

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

DR. ELISE CHRISTINE BRODIN LARSON MD (NPI 1124087622) is an individual family medicine provider in Fridley, Minnesota, licensed in Minnesota (40650) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124087622
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELISE CHRISTINE BRODIN LARSONCredential: MD
Location Address5130 MAIN ST NEFridley, MN 55421-1528
Mailing Address323 Washington Ave N Ste 200Minneapolis, MN 55401-2206 · (952) 698-9860
Phone(612) 216-1471
Fax(833) 972-1587
Sole ProprietorNo
Enumeration DateMarch 22, 2006
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1124087622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 40650
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5130 MAIN ST NE, Fridley, MN 55421
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Other Names 1

Former Name (1)Dr. Elise Christine Brodin Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elise Christine Brodin Larson Md 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 55421 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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

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

NEOPATH
Clinic/Center (Primary Care)
5130 MAIN ST NE
FRIDLEY, MN 55421
Anoka County (612) 216-1471

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 Elise Larson's NPI number?

The NPI number for Elise Larson is 1124087622. It was assigned to this individual provider in the NPPES registry on March 22, 2006. The provider is also known as Dr. Elise Christine Brodin MD.

Where is Elise Larson located?

Elise Larson practices at 5130 Main St NE, Fridley, MN 55421. The listed phone number is (612) 216-1471.

What is Elise Larson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elise Larson enrolled in Medicare?

Yes. Elise Larson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elise Larson was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.