DR. CHRISTINE MARIE LARSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1528064128

DR. CHRISTINE MARIE LARSON (M.D.) is a healthcare provider. based in Minnetonka, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 38178 (MN). The NPI Number for DR. CHRISTINE MARIE LARSON (M.D.) is 1528064128

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTINE MARIE LARSON (M.D.)
NPI
1528064128
Phone
(952) 249-2000
Address
14001 RIDGEDALE DR
Enumeration Date
28 June 2005
Last Update Date
30 April 2008

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9522492000
Graduation Year
1991 (35 years ago)
PAC ID
4486603933
Group Practice PAC ID
1355396110
Professional Enrollment ID
I20050121000539
Address ID
MN553447329ED800XXDRXX405
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

822 OBSTETRICS/GYNECOLOGY in MN

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Provider Addresses for DR. CHRISTINE MARIE LARSON (M.D.)

  • Ridgedale Drive, Oak Knoll, Minnetonka, Hennepin County, Minnesota, 55305, United States

    STE 200

    MINNETONKA, MN 553051753

    Phone: (952) 249-2000

    Fax: (952) 249-2099

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $535.

Total Amount is formed as General ($535) + Research ($0) + Ownership ($0) = $535.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Dilon Technologies, Inc. ($128).

Total Amount

$535

General + Research + Ownership

Payments

16

Total payment records

General Amount

$535

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2005-01-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050121000539IObstetrics/GynecologyMNTBD

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 55305)

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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: 1355396110View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
-MN
O B S T E T R I C S/ G Y N E C O L O G YMN
Physician AssistantMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeNY
Registered Dietitian Or Nutrition ProfessionalMN
O B S T E T R I C S/ G Y N E C O L O G YMN

Reviews

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Frequently asked questions

Does DR. CHRISTINE MARIE LARSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. CHRISTINE MARIE LARSON (M.D.) uses 1528064128.
Does the file indicate DR. CHRISTINE MARIE LARSON (M.D.) is practicing under active NPI?
Directory data currently reports DR. CHRISTINE MARIE LARSON (M.D.) as active.
What is DR. CHRISTINE MARIE LARSON (M.D.)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. CHRISTINE MARIE LARSON (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. CHRISTINE MARIE LARSON (M.D.) serve?
DR. CHRISTINE MARIE LARSON (M.D.)'s listing highlights Minnetonka, Minnesota; more addresses can appear in NPPES.
Why does DR. CHRISTINE MARIE LARSON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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