Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NICOLE ELIZABETH LARSEN MD
NPI 1538726450
Pediatrics - Neonatal-Perinatal Medicine in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

Active since May 27, 2019PECOS Enrolled

1725 W HARRISON ST STE 710, CHICAGO, IL 60612(312) 942-3034 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 19, 2023, Jun 8, 2023, May 24, 2023 and 1 more (4 updates tracked since 2019).

On this page

About Nicole Elizabeth Larsen Md NPPES

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

NICOLE ELIZABETH LARSEN MD (NPI 1538726450) is an individual neonatal-perinatal medicine provider in Chicago, Illinois, licensed in Illinois (036159705) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1538726450

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameNICOLE ELIZABETH LARSENCredential: MD

Location Address1725 W HARRISON ST STE 710Chicago, IL 60612-3863

Mailing Address1725 W Harrison St Ste 710Chicago, IL 60612-3863 · (312) 942-3034

Phone(312) 942-3034

Sole ProprietorNo

Enumeration DateMay 27, 2019

Last NPPES UpdateJune 30, 20264 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1538726450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IL · 036159705

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 036159705 (IL)

1725 W HARRISON ST STE 710, Chicago, IL 60612

Open in Google Maps ↗

Secondary Practice Location 1

Location 11540 E Medical Center DrAnn Arbor, MI 48109-0100 · Phone (734) 763-4109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Elizabeth Larsen 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.