JILL R LARSEN (PA-C) – Physician Assistant, NPI 1861672909
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 JILL R LARSEN (PA-C)
11, Doctors Drive, Ocean Springs, Jackson County, Mississippi, 39564, United States
OCEAN SPRINGS, MS 395645709
Phone: (228) 872-2403
Fax: (228) 875-7584
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 219 Open Payments records for all available years, with a total value of $3,455.
Total Amount is formed as General ($3,455) + Research ($0) + Ownership ($0) = $3,455.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($607).
Total Amount
$3,455
General + Research + Ownership
Payments
219
Total payment records
General Amount
$3,455
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $607 |
| AstraZeneca Pharmaceuticals LP | $362 |
| PFIZER INC. | $317 |
| Lilly USA, LLC | $190 |
| Xeris Pharmaceuticals, Inc. | $188 |
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: 2009-11-25
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 |
|---|---|---|---|---|
| I20091125000178 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
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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