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KELLIE D LARSON PA-C
NPI 1962489914
Physician Assistant - Medical in Lincoln, NE

Active since December 29, 2005
8201 NORTHWOODS DR, LINCOLN, NE 68505(402) 465-5600(402) 327-6017 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellie D Larson Pa-c NPPES

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

KELLIE D LARSON PA-C (NPI 1962489914) is an individual medical provider in Lincoln, Nebraska, licensed in Nebraska (737) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1962489914
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLIE D LARSONCredential: PA-C
Location Address8201 NORTHWOODS DRLincoln, NE 68505-3092
Mailing Address8201 Northwoods DrLincoln, NE 68505-3092 · (402) 465-5600 · Fax (402) 327-6074
Phone(402) 465-5600
Fax(402) 327-6017
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateMarch 6, 2017
✔ NPI 1962489914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NE · 737
8201 NORTHWOODS DR, Lincoln, NE 68505
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Other Names 1

Former Name (1)Kellie Symonsbergen

Other Identifiers 4

Medicaid10025151600NE
Medicaid10026368300NE
Medicaid47079049112NE
Medicaid47079049100NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 17

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

DR. EILEEN C VAUTRAVERS MD
Pediatrics
8201 NORTHWOODS DR
LINCOLN, NE 68505
Lancaster County (405) 465-5600
DR. CORRIE A DAVIES P.H.D.
Psychologist
8201 NORTHWOODS DR
LINCOLN, NE 68505
Lancaster County (402) 465-5600
MRS. KARINA ELIAS APRN
Nurse Practitioner (Pediatrics, Critical Care)
8201 NORTHWOODS DR
LINCOLN, NE 68505
Lancaster County (402) 465-5600
DR. SONYA M REYNOLDS MD
Pediatrics
8201 NORTHWOODS DR
LINCOLN, NE 68505
Lancaster County (402) 465-5600
BRITTANY KAY LIEBSACK
Psychologist
8201 NORTHWOODS DR
LINCOLN, NE 68505
Lancaster County (402) 465-5600
STACY A KOSSE PHD
Psychologist (Clinical)
8201 NORTHWOODS DR
LINCOLN, NE 68505
Lancaster County (402) 465-5600
PATTY K NEWELL
Nurse Practitioner (Pediatrics)
8201 NORTHWOODS DR
LINCOLN, NE 68505
Lancaster County (402) 465-5600
CASSANDRA M PRICE APRN-NP
Nurse Practitioner (Acute Care)
8201 NORTHWOODS DR
LINCOLN, NE 68505
Lancaster County (402) 465-5600

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 Kellie Larson's NPI number?

The NPI number for Kellie Larson is 1962489914. It was assigned to this individual provider in the NPPES registry on December 29, 2005. The provider is also known as Kellie Symonsbergen.

Where is Kellie Larson located?

Kellie Larson practices at 8201 Northwoods Dr, Lincoln, NE 68505. The listed phone number is (402) 465-5600.

What is Kellie Larson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Kellie Larson accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Kellie 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 Kellie Larson was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.