KELLIE D LARSON (PA-C) – Medical Physician Assistant, NPI 1962489914

KELLIE D LARSON (PA-C) is a healthcare provider. based in Lincoln, Nebraska. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 737 (NE). The NPI Number for KELLIE D LARSON (PA-C) is 1962489914

Main info

Female
Name
KELLIE D LARSON (PA-C)
NPI
1962489914
Phone
(402) 465-5600
Address
8201 NORTHWOODS DR
Enumeration Date
29 December 2005
Last Update Date
6 March 2017
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 KELLIE D LARSON (PA-C)

  • Northwoods Drive, Lincoln County, Missouri, United States

    LINCOLN, NE 685053092

    Phone: (402) 465-5600

    Fax: (402) 327-6074

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 68505)

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Reviews

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Frequently asked questions

What is the registry number for KELLIE D LARSON (PA-C)?
The registry entry for KELLIE D LARSON (PA-C) shows NPI 1962489914.
Is KELLIE D LARSON (PA-C)'s NPI status active today?
Active status means KELLIE D LARSON (PA-C)'s NPI record is not deactivated in the public file.
Which specialty label fits KELLIE D LARSON (PA-C)?
NPPES ties KELLIE D LARSON (PA-C) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KELLIE D LARSON (PA-C)?
KELLIE D LARSON (PA-C) shows a connection to Lincoln, Nebraska in registry-derived data.
Who maintains KELLIE D LARSON (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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