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MIRANDA N LARSON RD
NPI 1598405169
Dietitian, Registered in Crosby, MN

Active since March 31, 2022
97.58/100
CMS Quality Rating
320 E MAIN ST, CROSBY, MN 56441(218) 546-7000(218) 546-4400 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miranda N Larson Rd NPPES

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

MIRANDA N LARSON RD (NPI 1598405169) is an individual dietitian, registered in Crosby, Minnesota, licensed in Minnesota (4587) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1598405169
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMIRANDA N LARSONCredential: RD
Location Address320 E MAIN STCrosby, MN 56441-1645
Mailing Address320 E Main StCrosby, MN 56441-1645 · (218) 546-7000 · Fax (218) 546-4400
Phone(218) 546-7000
Fax(218) 546-4400
Sole ProprietorNo
Enumeration DateMarch 31, 2022
Last NPPES UpdateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
✔ NPI 1598405169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MN · 4587
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
320 E MAIN ST, Crosby, MN 56441
Open in Google Maps ↗

Other Names 1

Former Name (1)Miranda N Berg Rd

Other Identifiers 1

Other4587MN · Dietitian

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda N Larson Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Miranda Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cuyuna Regional Medical Center
Same address
Critical Access
320 E MAIN ST
Crosby, MN 56441
  • Reassigned Medicare billing, Minnesota enrollment
  • 224 clinicians in this Medicare group
NPI 1538143896 (218) 546-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

MATTHEW FRANCIS FLEMING PA-C
Physician Assistant
320 E MAIN ST, ATTN: ORTHOPEDICS
CROSBY, MN 56441
Crow Wing County (218) 546-7000
DR. CAMILLE E LANG M.D.
Family Medicine
320 E MAIN ST, CENTRAL LAKES MEDICAL CLINIC, PA
CROSBY, MN 56441
Crow Wing County (218) 546-7000
DR. BRIANNE MARIE BURMEISTER PHARM.D.
Pharmacist
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-2345
JAMIE WITHROW RD,LD,CDE
Dietetic Technician, Registered
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7000
ADAM R ENGLISH
Nurse Practitioner (Family)
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7000
STACI RANAE ROSLANSKY APRN,CNP
Nurse Practitioner
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7000
CUYUNA REGIONAL MEDICAL CENTER
Medicare Defined Swing Bed Unit
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-7000
JAYME NICOLE VANRISSEGHEM PHARMD
Pharmacist
320 E MAIN ST
CROSBY, MN 56441
Crow Wing County (218) 546-2345

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 Miranda Larson's NPI number?

The NPI number for Miranda Larson is 1598405169. It was assigned to this individual provider in the NPPES registry on March 31, 2022. The provider is also known as Miranda N Berg Rd.

Where is Miranda Larson located?

Miranda Larson practices at 320 E Main St, Crosby, MN 56441. The listed phone number is (218) 546-7000.

What is Miranda Larson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Miranda Larson enrolled in Medicare?

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

Which organization bills Medicare for Miranda Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Larson reassigns Medicare benefits to Cuyuna Regional Medical Center (Crosby, 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 Miranda 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 Miranda Larson was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.