NPIMap

Valerie A. Larson, M.D.

Individual provider Active NPI Family Medicine Physician · Dell Rapids, SD

NPI 1124097027 · NPPES record last updated Jun 3, 2010

Key facts

NPI
1124097027
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
4884 (SD)
Practice address
111 10TH Street
Dell Rapids, SD 57022-1208
Phone
(605) 428-5446
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4884SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4884 SD Yes

Addresses

Primary practice location

111 10TH Street
Dell Rapids, SD 57022-1208

Mailing address

P.O. Box 8
Dell Rapids, SD 57022-1208
Phone (605) 428-5446

Other identifiers

IdentifierTypeStateIssuer
1402966OtherAMERICAS PPO
4996052OtherSDWELLMARK BCBS OF SD
0108605OtherMEDICA
57022A009OtherTRICARE
0008142OtherSDWELLMARK BCBS OF SD
4884OtherSDDAKOTACARE
55F71LAOtherMNBCBS OF MN
AH9021028613OtherPREFFERED ONE
5610960MedicaidSD
5610962MedicaidSD
063425500MedicaidMN
233740OtherMIDLANDS CHOICE

Other providers in Dell Rapids, SD

All providers in Dell Rapids, SD · Family Medicine Physician in South Dakota

Sources for this page

Verify at the official NPI Registry.