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DR. SHELLY ANN MARIE LARSON D.P.M.
NPI 1952539231
Podiatrist - Foot & Ankle Surgery in Butler, PA

Active since June 25, 2009PECOS Enrolled
104 TECHNOLOGY DRIVE, SUITE 103, BUTLER, PA 16001(724) 482-4192(724) 482-4859 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shelly Ann Marie Larson D.p.m. NPPES

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

DR. SHELLY ANN MARIE LARSON D.P.M. (NPI 1952539231) is an individual foot & ankle surgery provider in Butler, Pennsylvania, licensed in Pennsylvania (SC006152) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952539231
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SHELLY ANN MARIE LARSONCredential: D.P.M.
Location Address104 TECHNOLOGY DRIVE, SUITE 103Butler, PA 16001
Mailing Address104 Technology Dr, Suite 103Butler, PA 16001-1801 · (724) 482-4192 · Fax (724) 482-4859
Phone(724) 482-4192
Fax(724) 482-4859
Sole ProprietorYes
Enumeration DateJune 25, 2009
Last NPPES UpdateJune 27, 2013
✔ NPI 1952539231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in PA · SC006152
104 TECHNOLOGY DRIVE, Butler, PA 16001
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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 (PECOS)

Dr. Shelly Ann Marie Larson D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

GEORGE F DANIELS JR. MD
Urology
104 TECHNOLOGY DRIVE, SUITE 204
BUTLER, PA 16001
Butler County (724) 482-4257
MRS. DENISE COYLE NP-C
Nurse Practitioner
104 TECHNOLOGY DRIVE, SUITE 202
BUTLER, PA 16001
Butler County (724) 482-6062

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 Shelly Larson's NPI number?

The NPI number for Shelly Larson is 1952539231. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Shelly Larson located?

Shelly Larson practices at 104 Technology Drive Suite 103, Butler, PA 16001. The listed phone number is (724) 482-4192.

What is Shelly Larson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Shelly Larson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shelly Larson was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.