MS. JEAN TERESA LARSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1801257332

MS. JEAN TERESA LARSON (PMHNP-BC) is a healthcare provider. based in Anoka, Minnesota. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials PMHNP-BC. They hold a License No. CNP 4243 (MN). The NPI Number for MS. JEAN TERESA LARSON (PMHNP-BC) is 1801257332

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. JEAN TERESA LARSON (PMHNP-BC)
NPI
1801257332
Phone
(651) 314-5181
Address
3301 7TH AVE
Enumeration Date
10 March 2016
Last Update Date
20 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073846830
Graduation Year
2015 (11 years ago)
PAC ID
6507163763
Group Practice PAC ID
7517912991
Professional Enrollment ID
I20160404000028
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for MS. JEAN TERESA LARSON (PMHNP-BC)

  • Anoka-Metro Regional Treatment Center, 3301, 7th Avenue, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 55303

    Phone: (651) 314-5181

    Fax: (651) 431-7719

    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)

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: 2016-04-04

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
I20160404000028INurse 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 55303)

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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: 7517912991View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)MN
-MN
P S Y C H I A T R YMN
Nurse PractitionerMN
P S Y C H I A T R YMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. JEAN TERESA LARSON (PMHNP-BC)?
MS. JEAN TERESA LARSON (PMHNP-BC) — NPI 1801257332 — is the standard way to identify this listing.
Does the file indicate MS. JEAN TERESA LARSON (PMHNP-BC) is practicing under active NPI?
Directory data currently reports MS. JEAN TERESA LARSON (PMHNP-BC) as active.
What is MS. JEAN TERESA LARSON (PMHNP-BC)'s specialty?
The listing groups MS. JEAN TERESA LARSON (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MS. JEAN TERESA LARSON (PMHNP-BC) list a practice location?
Patients near Anoka, Minnesota may find MS. JEAN TERESA LARSON (PMHNP-BC) in results; validate coverage separately.
Why does MS. JEAN TERESA LARSON (PMHNP-BC) 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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