ANDREA SUSAN LARSEN PHD
NPI 1811050248
Psychologist in Minneapolis, MN
About Andrea Susan Larsen Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA SUSAN LARSEN PHD (NPI 1811050248) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (0120) and active in the NPI registry since December 2006. She has opted out of Medicare through August 10, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Andrea Susan Larsen Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 10, 2015 through August 10, 2027.
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 Andrea Larsen's NPI number?
The NPI number for Andrea Larsen is 1811050248. It was assigned to this individual provider in the NPPES registry on December 18, 2006.
Where is Andrea Larsen located?
Andrea Larsen practices at 430 Oak Grove Suite #230 Loring Park Office Building, Minneapolis, MN 55403. The listed phone number is (612) 870-0230.
What is Andrea Larsen's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Andrea Larsen enrolled in Medicare?
No. Andrea Larsen has opted out of Medicare through August 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Andrea Larsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.