MRS. SHELLY LYNN LARSON PA-C
NPI 1982690145
Physician Assistant in Saint Paul, MN

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
4480 CENTERVILLE RD, SAINT PAUL, MN 55127(651) 484-2724(651) 484-2723 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Shelly Lynn Larson Pa-c NPPES

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

MRS. SHELLY LYNN LARSON PA-C (NPI 1982690145) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (9815) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1982690145
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SHELLY LYNN LARSONCredential: PA-C
Location Address4480 CENTERVILLE RDSaint Paul, MN 55127-3674
Mailing Address4480 Centerville RdSaint Paul, MN 55127-3674 · (651) 484-2724 · Fax (651) 484-2723
Fax(651) 484-2723
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 23, 2005
Last NPPES UpdateMay 14, 2012
NPI 1982690145 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 · 9815
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.

4480 CENTERVILLE RD, Saint Paul, MN 55127

Other Names 1

Former Name (1)Ms. Shelly Lynn Bergh Pa

Other Identifiers 1

Medicare UPINQ02646

Accepted Insurance

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

Mrs. Shelly Lynn Larson Pa-c 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 ID9436052057
PECOS Enrollment IDI20040130000573
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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
598 services149 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
252 services212 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.
212 services159 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
208 services172 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
115 services109 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
112 services112 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55127 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 9

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

Physician Assistant
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Dermatology
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Physician Assistant
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Physician Assistant
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Physician Assistant
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Physician Assistant
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Physician Assistant
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127
Dermatology
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 55127

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 1982690145. It was assigned to this individual provider in the NPPES registry on September 23, 2005. The provider is also known as Ms. Shelly Lynn Bergh PA.

Where is Shelly Larson located?

Shelly Larson practices at 4480 Centerville Rd, Saint Paul, MN 55127. The listed phone number is (651) 484-2724.

What is Shelly Larson's specialty?

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

Is Shelly Larson enrolled in Medicare?

Yes. Shelly Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelly Larson accept?

Health plans from HealthPartners and Medica list Shelly 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.

Is Shelly Larson affiliated with any hospitals?

According to CMS data, Shelly Larson is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Shelly Larson was last updated on May 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.