DR. ANDREW W. LARSON M.D.
NPI 1700853397
Pediatrics in Rogers, MN
About Dr. Andrew W. Larson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW W. LARSON M.D. (NPI 1700853397) is an individual pediatrics provider in Rogers, Minnesota, licensed in Minnesota (41197) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andrew W. Larson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrew Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 62 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrew Larson's NPI number?
The NPI number for Andrew Larson is 1700853397. It was assigned to this individual provider in the NPPES registry on March 2, 2006.
Where is Andrew Larson located?
Andrew Larson practices at 13980 Northdale Blvd, Rogers, MN 55374. The listed phone number is (763) 428-1920.
What is Andrew Larson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Andrew Larson enrolled in Medicare?
Yes. Andrew Larson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrew Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Larson reassigns Medicare benefits to Children's Clinic Network (Maple Grove, 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 Andrew Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Larson accept?
Health plans from HealthPartners list Andrew Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Andrew Larson was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Andrew W. Larson, M.D. · NPI 1700853397
Pediatrics physician in Rogers, Minnesota. Individual provider, active in the CMS NPPES registry since March 2, 2006.
## Identity
- **NPI:** 1700853397 (Entity type: Individual)
- **Enumerated:** March 2, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 41197 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 13980 NORTHDALE BLVD, Rogers, MN 55374-2147
- **Phone:** (763) 428-1920 · **Fax:** (763) 428-3162
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Clinic Network (NPI 1013278720, Maple Grove, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2011
- **Other identifiers:** Medicaid 165517500 (MN); Medicare UPIN G84262 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1700853397) · Data from the CMS NPPES public registry.