MR. ERIC THOMAS LARSON CRNA
NPI 1164725511
Registered Nurse in Woodbury, MN
About Mr. Eric Thomas Larson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ERIC THOMAS LARSON CRNA (NPI 1164725511) is an individual registered nurse in Woodbury, Minnesota, licensed in Minnesota (R174225-7) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Eric Thomas Larson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eric Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Starbuck, MN 56381
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1366543662 (Minnesota)
- 143 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.
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 Eric Larson's NPI number?
The NPI number for Eric Larson is 1164725511. It was assigned to this individual provider in the NPPES registry on December 7, 2010.
Where is Eric Larson located?
Eric Larson practices at 3272 Oak View Dr, Woodbury, MN 55129. The listed phone number is (651) 528-9928.
What is Eric Larson's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Eric Larson enrolled in Medicare?
Yes. Eric Larson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eric Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Larson reassigns Medicare benefits to Stevens Community Medical Center Inc. (Starbuck, MN). The 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 Eric Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eric Larson was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Eric Thomas Larson, CRNA · NPI 1164725511
Registered Nurse provider in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since December 7, 2010.
## Identity
- **NPI:** 1164725511 (Entity type: Individual)
- **Enumerated:** December 7, 2010
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** R174225-7 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3272 OAK VIEW DR, Woodbury, MN 55129-9370
- **Phone:** (651) 528-9928
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Stevens Community Medical Center Inc. (NPI 1417105552, Starbuck, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1164725511) · Data from the CMS NPPES public registry.