BROOKE LOU LARSON (PA-C) – Physician Assistant, NPI 1114336278

BROOKE LOU LARSON (PA-C) is a healthcare provider. based in Fayetteville, Arkansas. specializing in Physician Assistant. They hold the professional credentials PA-C. The NPI Number for BROOKE LOU LARSON (PA-C) is 1114336278

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE LOU LARSON (PA-C)
NPI
1114336278
Phone
(479) 527-9966
Address
2630 E CITIZENS DR
Enumeration Date
3 August 2014
Last Update Date
3 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4792546734
Graduation Year
2014 (12 years ago)
PAC ID
2466673058
Group Practice PAC ID
7012132293
Professional Enrollment ID
I20141023002198
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for BROOKE LOU LARSON (PA-C)

  • 2630 E CITIZENS DR

    FAYETTEVILLE, AR 727034797

    Phone: (479) 527-9966

    Type: Location

  • 703 S BROOKSIDE CT

    ROGERS, AR 727588157

    Phone: (858) 361-2837

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012132293View full group profile

Reviews

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Frequently asked questions

Can I verify BROOKE LOU LARSON (PA-C) with an NPI only?
You can start verification with NPI 1114336278 for BROOKE LOU LARSON (PA-C), then check state licensing separately.
Is BROOKE LOU LARSON (PA-C) still practicing?
BROOKE LOU LARSON (PA-C) is currently listed as active in the public NPI registry.
What is BROOKE LOU LARSON (PA-C) best known for clinically?
Directory data describes BROOKE LOU LARSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for BROOKE LOU LARSON (PA-C)?
BROOKE LOU LARSON (PA-C)'s geographic hint is Fayetteville, Arkansas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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