KRISTIN MICHELLE LARSON PAC
NPI 1730142142
Physician Assistant in Maplewood, MN

Q: What is Kristin Larson's NPI number?

The NPI number for Kristin Larson is 1730142142. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Q: What is Kristin Larson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Larson was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment

2480 WHITE BEAR AVE N STE 104, MAPLEWOOD, MN 55109(612) 444-3247(612) 888-9247 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Feb 20, 2023, Oct 26, 2016 and 1 more (4 updates tracked since 2016).

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About Kristin Michelle Larson Pac NPPES

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

KRISTIN MICHELLE LARSON PAC (NPI 1730142142) is an individual physician assistant in Maplewood, Minnesota, licensed in Minnesota (9474) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1730142142

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTIN MICHELLE LARSONCredential: PAC

Location Address2480 WHITE BEAR AVE N STE 104Maplewood, MN 55109-4568

Mailing Address2480 White Bear Ave N Ste 104Maplewood, MN 55109-4568 · (612) 444-3247 · Fax (612) 888-9247

Phone(612) 444-3247

Fax(612) 888-9247

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateApril 7, 2006

Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1730142142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 9474

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2480 WHITE BEAR AVE N STE 104, Maplewood, MN 55109

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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 and accepts Medicare assignment

Kristin Michelle Larson Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729173562

PECOS Enrollment IDI20071009000208

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

23 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

20 services17 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ASHLEIGH ELIZABETH MISSON PA-C

Physician Assistant