MICHAELA R LARSEN (P.A.C.) – Physician Assistant, NPI 1477585081
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for MICHAELA R LARSEN (P.A.C.)
555 Fortune Dr
Papillion, NE 680463421
Phone: (402) 502-3600
Fax: (402) 502-3606
Type: Location
Omaha Post Office, Collins Street, Omaha, Boone County, Arkansas, 72662, United States
OMAHA, NE 681030755
Phone: (402) 354-2100
Fax: (402) 354-2155
Type: Mailing
Minnesota Valley Funeral Home North Chapel, 218, North Broadway, New Ulm, Brown County, Minnesota, 56073, United States
VALLEY, NE 680640337
Phone: (402) 359-2277
Fax: (402) 359-5432
Type: Location
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: 2014-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140315000346 | I | Physician Assistant | NE | 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 | 90 | 62 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 83 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 60 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 52 | 40 | $0 |
| 83036 | Hemoglobin a1c level | 30 | 22 | $0 |
Insurance plans in this area (ZIP 68046)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NE | 81002 | Urinalysis, manual test | 78 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| N E U R O L O G Y | NE | |
| Family Practice, Hospitalist | IA | |
| Nurse Practitioner | NE | |
| Internal Medicine | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Infectious Disease | NE | |
| - | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE |
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