ANGELA L LARSON (CNP) – Nurse Practitioner, NPI 1275618399

ANGELA L LARSON (CNP) is a healthcare provider. based in Chaska, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. R149045-7 (MN). The NPI Number for ANGELA L LARSON (CNP) is 1275618399

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA L LARSON (CNP)
NPI
1275618399
Phone
(952) 856-4033
Address
111 HUNDERTMARK RD STE 440
Enumeration Date
26 October 2006
Last Update Date
31 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
9524422191
Graduation Year
2001 (25 years ago)
PAC ID
3870621311
Group Practice PAC ID
9234041997
Professional Enrollment ID
I20100504000833
Address ID
MN553871752WA500XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for ANGELA L LARSON (CNP)

  • 111 HUNDERTMARK RD STE 440

    CHASKA, MN 553181460

    Phone: (952) 856-4033

    Fax: (952) 856-4034

    Type: Location

  • Ridgeview Medical Center, 500, South Maple Street, Waconia, Carver County, Minnesota, 55387, United States

    ATTN: MEDICAL STAFF OFFICE

    WACONIA, MN 55387

    Phone: (952) 442-2191

    Fax: (952) 442-8055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Nevro Corp. ($246).

Total Amount

$272

General + Research + Ownership

Payments

8

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-05-04

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
I20100504000833INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes240106$0
95972Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming1713$0
View full utilization report →

Insurance plans in this area (ZIP 55318)

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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: 9234041997View full group profile
NameSpecialtyState
Family PracticeMN
Internal MedicineMN
Family PracticeMN
-MN
-MN
Physician AssistantMN
Diagnostic RadiologyMN
Marriage And Family TherapistMN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Can I verify ANGELA L LARSON (CNP) with an NPI only?
You can start verification with NPI 1275618399 for ANGELA L LARSON (CNP), then check state licensing separately.
Is ANGELA L LARSON (CNP) listed as active for patients and plans?
The listing shows ANGELA L LARSON (CNP) as active in the NPI system.
What taxonomy line describes ANGELA L LARSON (CNP)?
For research purposes, treat ANGELA L LARSON (CNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ANGELA L LARSON (CNP) on a map?
Expect Chaska, Minnesota as a primary anchor for ANGELA L LARSON (CNP) unless the record lists multiple sites.
Is the information about ANGELA L LARSON (CNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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