KRISTIAN J LARSEN (PA) – Physician Assistant, NPI 1265656144

KRISTIAN J LARSEN (PA) is a healthcare provider. based in Ft washington, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. C01347 (MD). The NPI Number for KRISTIAN J LARSEN (PA) is 1265656144

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIAN J LARSEN (PA)
NPI
1265656144
Phone
(540) 389-3620
Address
11711 LIVINGSTON RD
Enumeration Date
12 April 2007
Last Update Date
3 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2404271926
Graduation Year
1988 (38 years ago)
PAC ID
6608043773
Group Practice PAC ID
4385538735
Professional Enrollment ID
I20120518000025
Address ID
MD206012807WA2855XHWYX300

Contacts

Secure Messaging
MDExchange@patientfirstclinics.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for KRISTIAN J LARSEN (PA)

  • 11711 LIVINGSTON RD

    FT WASHINGTON, MD 20744

    Phone: (540) 389-3620

    Type: Location

  • 16301 BADEN NAYLOR RD

    BRANDYWINE, MD 206138510

    Phone: (301) 579-6078

    Type: Mailing

  • 11711 Livingston Rd

    Ft Washington, MD 20744

    Phone: (540) 389-3620

    Type: Location

  • 2855 CRAIN HWY

    WALDORF, MD 206012840

    Phone: (240) 427-1926

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120113000255IPhysician AssistantDCTBD
I20120518000025IPhysician AssistantMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes206189$0
99214Established patient office or other outpatient visit, 30-39 minutes173163$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus145140$0
99203New patient office or other outpatient visit, 30-44 minutes109109$0
87804Detection test by immunoassay with direct visual observation for influenza virus8442$0
View full utilization report →

Insurance plans in this area (ZIP 20744)

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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: 4385538735View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KRISTIAN J LARSEN (PA)?
Save NPI 1265656144 if you need a stable reference for KRISTIAN J LARSEN (PA).
Is KRISTIAN J LARSEN (PA) currently active in the NPI registry?
CMS-published data lists KRISTIAN J LARSEN (PA) as an active registrant.
Does KRISTIAN J LARSEN (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for KRISTIAN J LARSEN (PA). Clinical services aligned with this taxonomy classification.
Where is KRISTIAN J LARSEN (PA)'s primary listing?
We display Ft Washington, Maryland because that is what the record indicates for KRISTIAN J LARSEN (PA).
What if Ft Washington, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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