ABBY LARSON (APRN, CNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1255143400

ABBY LARSON (APRN, CNP, PMHNP) is a healthcare provider. based in Hibbing, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP, PMHNP. They hold a License No. 12486 (MN). The NPI Number for ABBY LARSON (APRN, CNP, PMHNP) is 1255143400

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ABBY LARSON (APRN, CNP, PMHNP)
NPI
1255143400
Phone
(218) 209-2150
Address
1101 E 37th St Ste 5
Enumeration Date
24 January 2025
Last Update Date
14 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2182092150
Graduation Year
2024 (2 years ago)
PAC ID
2769912211
Group Practice PAC ID
9537546841
Professional Enrollment ID
I20250212003598
Address ID
MN557462972HI1101XSTXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for ABBY LARSON (APRN, CNP, PMHNP)

  • 1101 E 37th St Ste 5

    Hibbing, MN 557462972

    Phone: (218) 209-2150

    Type: Location

  • 34758 W DEER LAKE RD

    DEER RIVER, MN 566363119

    Phone:

    Type: Mailing

  • 1101 E 37TH ST STE 5

    HIBBING, MN 557462972

    Phone: (218) 209-2150

    Type: Location

  • 1833 W US Highway 2 Ste C

    Grand Rapids, MN 557444733

    Phone: (218) 297-5866

    Type: Location

  • 1833 W US HIGHWAY 2 STE C

    GRAND RAPIDS, MN 557444733

    Phone: (218) 297-5866

    Fax: (218) 885-8840

    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.

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: 2025-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250212003598INurse PractitionerMNTBD

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.

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

Insurance plans in this area (ZIP 55746)

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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: 9537546841View full group profile
NameSpecialtyState
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerND
Internal MedicineMN
Clinical Social WorkerMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the standard ID for ABBY LARSON (APRN, CNP, PMHNP) in the U.S.?
In the U.S., ABBY LARSON (APRN, CNP, PMHNP) is identified by NPI 1255143400.
Is ABBY LARSON (APRN, CNP, PMHNP)'s NPI status active today?
Active status means ABBY LARSON (APRN, CNP, PMHNP)'s NPI record is not deactivated in the public file.
How should patients interpret ABBY LARSON (APRN, CNP, PMHNP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for ABBY LARSON (APRN, CNP, PMHNP). Clinical services aligned with this taxonomy classification.
Which community is linked to ABBY LARSON (APRN, CNP, PMHNP)?
ABBY LARSON (APRN, CNP, PMHNP) shows a connection to Hibbing, Minnesota in registry-derived data.
Can I export ABBY LARSON (APRN, CNP, PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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