ANDREA ELIZABETH LARSON (DO) – Family Medicine Physician, NPI 1366822587
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
Provider Addresses for ANDREA ELIZABETH LARSON (DO)
8170 33RD AVE
MS 21110Q
BLOOMINGTON, MN 554254516
Phone: (651) 552-2600
Fax: (651) 552-2614
Type: Mailing
2020 E 28th St
Suite 104
Minneapolis, MN 554071394
Phone: (612) 333-0770
Type: Location
1115 N Belt Hwy
Saint Joseph, MO 645062410
Phone: (816) 271-7077
Fax: (816) 271-4998
Type: Location
5625 CENEX DR
INVER GROVE HEIGHTS, MN 55077
Phone: (651) 552-2600
Fax: (651) 552-2614
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: 2022-04-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220421000865 | I | Family Practice | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 138 | 136 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 64 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 55425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | MO | |
| Family Practice | MO | |
| Certified Clinical Nurse Specialist (Cns) | MO | |
| Internal Medicine | MO | |
| A N E S T H E S I O L O G Y | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
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