LARRY NILSSON (PA-C) – Physician Assistant, NPI 1033197595

LARRY NILSSON (PA-C) is a healthcare provider. based in Golden valley, Minnesota. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 9754 (MN). The NPI Number for LARRY NILSSON (PA-C) is 1033197595

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
LARRY NILSSON (PA-C)
NPI
1033197595
Phone
(952) 456-7000
Address
4200 DAHLBERG DR
Enumeration Date
5 January 2006
Last Update Date
16 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528922200
Graduation Year
2002 (24 years ago)
PAC ID
9133020936
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20040115000555
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LARRY NILSSON (PA-C)

  • Koch Industries, Inc. | Lehigh Consumer Group, LLC, 4200, Dahlberg Drive, Glenwood Junction, Golden Valley, Hennepin County, Minnesota, 55422, United States

    SUITE 300

    GOLDEN VALLEY, MN 554224840

    Phone: (952) 456-7000

    Fax: (952) 944-0460

    Type: Mailing

  • 4010, West 65th Street, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    TWIN CITIES ORTHOPEDICS

    EDINA, MN 554354800

    Phone: (952) 944-2519

    Fax: (952) 944-0460

    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.

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

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
73630X-ray of foot, minimum of 3 views4941$0
99213Established patient office or other outpatient visit, 20-29 minutes3131$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
73610X-ray of ankle, minimum of 3 views1817$0
28299Correction of bunion with 2 areas of realignment1615$0
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Insurance plans in this area (ZIP 55422)

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Provider's Procedures

LARRY NILSSON (PA-C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMN73630X-ray of foot, minimum of 3 views2220

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: 1052225042View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Can I cross-check LARRY NILSSON (PA-C) using NPI 1033197595?
NPI 1033197595 belongs to LARRY NILSSON (PA-C); compare other details if you need extra assurance.
Would LARRY NILSSON (PA-C) appear as active to a payer?
You can treat LARRY NILSSON (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LARRY NILSSON (PA-C)?
At a glance, LARRY NILSSON (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LARRY NILSSON (PA-C)?
Travel planning: use Golden Valley, Minnesota as the reference point for LARRY NILSSON (PA-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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