LARISSA NELSON
NPI 1861479875
Obstetrics & Gynecology in Minneapolis, MN

Q: What is Larissa Nelson's NPI number?

The NPI number for Larissa Nelson is 1861479875. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Larissa Nelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Nelson was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 30, 2005PECOS EnrolledAccepts Medicare Assignment

2925 CHICAGO AVE, MINNEAPOLIS, MN 55407(612) 863-4000(612) 863-3809 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Larissa Nelson NPPES

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

LARISSA NELSON (NPI 1861479875) is an individual obstetrics & gynecology provider in Minneapolis, Minnesota, licensed in Minnesota (45464) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Shakopee, and is a graduate of University Of North Dakota School Of Medicine (1999).

NPPES Registry Identity

NPI1861479875

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLARISSA NELSON

Location Address2925 CHICAGO AVEMinneapolis, MN 55407-1321

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 863-4000 · Fax (612) 863-3809

Phone(612) 863-4000

Fax(612) 863-3809

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1999

Enumeration DateDecember 30, 2005

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1861479875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MN · 45464

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2925 CHICAGO AVE, Minneapolis, MN 55407

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Secondary Practice Location 1

Location 11415 Saint Francis Ave, Suite 200Shakopee, MN 55379-3374 · Phone (952) 993-7750

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larissa Nelson 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 ID2466595426

PECOS Enrollment IDI20100130000164

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.

Medicare Billing Reassignments

Medicare enrollment records show Larissa Nelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System

Same address

Family Medicine

2925 CHICAGO AVE
Minneapolis, MN 55407

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1598585242 (Minnesota)
2,609 clinicians in this Medicare group

NPI 1467398453 (651) 241-9700

Park Nicollet Clinic

1.8 mi

Family Medicine

1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1912315144 (952) 977-0700

Hutchinson Health

54 mi

General Acute Care Hospital

1095 HIGHWAY 15 S
Hutchinson, MN 55350

Reassigned Medicare billing, Minnesota enrollment
253 clinicians in this Medicare group

NPI 1053508820 (320) 234-5000

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 55407 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TRACI ARNETTE ROBERTS M.D.

Internal Medicine