ASHLEY J LARSEN (PAC) – Medical Physician Assistant, NPI 1144301458
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
396 PHYSICIAN ASSISTANT in MS
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Provider Addresses for ASHLEY J LARSEN (PAC)
Doctors Drive, Ocean Springs, Jackson County, Mississippi, 39564, United States
OCEAN SPRINGS, MS 395645721
Phone: (228) 872-1951
Fax: (228) 875-9998
Type: Location
2101 HIGHWAY 90
GAUTIER, MS 395535340
Phone: (228) 872-1951
Fax: (228) 875-9998
Type: Mailing
3635 BIENVILLE BLVD
OCEAN SPRINGS, MS 395645711
Phone: (228) 872-1951
Fax: (228) 875-9998
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 210 Open Payments records for all available years, with a total value of $3,967.
Total Amount is formed as General ($3,967) + Research ($0) + Ownership ($0) = $3,967.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($650).
Total Amount
$3,967
General + Research + Ownership
Payments
210
Total payment records
General Amount
$3,967
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-09-20
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20110920000441 | I | Physician Assistant | MS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 345 | 297 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 79 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 37 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 39564)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Internal Medicine | AL | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Nurse Practitioner | MS | |
| - | MS | |
| - | MS | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Nurse Practitioner | MS | |
| Thoracic Surgery, Vascular Surgery | MS |
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