JENNIFER L LARSEN (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1215974381

JENNIFER L LARSEN (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold the professional credentials MD. They hold a License No. 17537 (NE). The NPI Number for JENNIFER L LARSEN (MD) is 1215974381

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L LARSEN (MD)
NPI
1215974381
Phone
(402) 559-8700
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
31 May 2006
Last Update Date
23 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
4025596195
Graduation Year
1979 (47 years ago)
PAC ID
5991831216
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20100325000895
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

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Provider Addresses for JENNIFER L LARSEN (MD)

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681988102

    Phone: (402) 559-8700

    Fax: (402) 559-5080

    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: 2010-03-25

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
I20100325000895IEndocrinologyNETBD

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 68198)

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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: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

How do I look up JENNIFER L LARSEN (MD) by NPI?
Use NPI 1215974381 when you need to reference JENNIFER L LARSEN (MD) in forms, claims, or directories.
Is JENNIFER L LARSEN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JENNIFER L LARSEN (MD) treat or focus on?
Patients typically see JENNIFER L LARSEN (MD) under the specialty Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Does JENNIFER L LARSEN (MD) practice in Nebraska?
You will see Omaha, Nebraska on file for JENNIFER L LARSEN (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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