Active NPI
Ashley J Larsen, PAC
- Medical Physician Assistant
- Ocean Springs, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA00156
- Practice address
- 3635 Bienville Blvd
Ocean Springs, MS 39564-5711 - Phone
- (228) 872-1951
- Fax
- (228) 875-9998
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00156 | MS | Primary |
| Surgical Physician Assistant | 363AS0400X | 200067 | LA | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | PA00156 | MS | |
| Medical Physician Assistant | 363AM0700X | PA-519 | AL |
Addresses
Primary practice location
3635 Bienville Blvd
Ocean Springs, MS 39564-5711
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 872-1951
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06105593 | Medicaid | MS | |
| 1371866 | Medicaid | LA | |
| 302I970729 | Other | MS | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of South Alabama College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3101 Denny Ave
Pascagoula, MS 39581-5307
Phone (228) 460-4180
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111
3635 Bienville Blvd
Ocean Springs, MS 39564-5711
Phone (228) 872-2403
7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622
Hospital & facility affiliations
- Singing River Health System
- Singing River Gulfport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-519 | AL | MD | Medical Physician Assistant |
| PA00156 | MS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients | |
| Singing River Health System | Past | Accepting new patients |
Locations
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
3635 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-1951
2 Doctors Dr
#A
Ocean Springs, MS 39564
3099 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-2403
22 Doctors Dr
#A
Ocean Springs, MS 39564
Phone (228) 872-1951
Interoperability endpoints
- https://api.platform.athenahealth.com/25776/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1487327193
-
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1639797913
-
- General Acute Care Hospital
- Pascagoula, MS
- NPI 1124136593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1144301458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HIGHWAY 90",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535340",
"telephone_number": "228-872-1951",
"fax_number": "228-875-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395645711",
"telephone_number": "228-872-1951",
"fax_number": "228-875-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ASHLEY",
"middle_name": "J",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MS",
"license": "PA00156",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "LA",
"license": "200067",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "MS",
"license": "PA00156",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AL",
"license": "PA-519",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06105593",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1371866",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "302I970729",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.