MS. MADELINE ROSE LARSEN PA-C
NPI 1417686833
Physician Assistant - Surgical in Skokie, IL

Q: What is Madeline Larsen's NPI number?

The NPI number for Madeline Larsen is 1417686833. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Q: What is Madeline Larsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Madeline Larsen was last updated on August 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2022PECOS Enrolled

93.08/100

CMS Quality Rating

9650 GROSS POINT RD STE 2900, SKOKIE, IL 60076(847) 866-7846(846) 954-5787 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 2, 2022, Jun 9, 2022 (2 updates tracked since 2022).

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About Ms. Madeline Rose Larsen Pa-c NPPES

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

MS. MADELINE ROSE LARSEN PA-C (NPI 1417686833) is an individual surgical provider in Skokie, Illinois, licensed in Illinois (085009052) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417686833

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMS. MADELINE ROSE LARSENCredential: PA-C

Location Address9650 GROSS POINT RD STE 2900Skokie, IL 60076-5006

Mailing Address9650 Gross Point Rd Ste 2900Skokie, IL 60076-5006 · (847) 866-7846 · Fax (846) 954-5787

Phone(847) 866-7846

Fax(846) 954-5787

Sole ProprietorNo

Enumeration DateJune 9, 2022

Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration

NPPES CertifiedAugust 2, 2022

✔ NPI 1417686833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085009052

9650 GROSS POINT RD STE 2900, Skokie, IL 60076

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Madeline Rose Larsen Pa-c 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

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.

ISAAC R JONES PA-C

Physician Assistant