Active NPI
Meghan Alyssa Larose, PA-C
- Physician Assistant
- Auburn Hills, MI
National Provider Identifier
1205282951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109489
- Practice address
- 3095 E Walton Blvd
Auburn Hills, MI 48326-2370 - Phone
- (248) 373-1790
- NPI assigned
- May 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109489 | FL | Primary |
Addresses
Primary practice location
3095 E Walton Blvd
Auburn Hills, MI 48326-2370
Mailing address
3095 E Walton Blvd
Auburn Hills, MI 48326-2370
Phone (248) 373-1790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6W1UL | Other | FL | BC/BS FLORIDA BLUE |
Other names 1
- Meghan Alyssa Edwards
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109489 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Clinic, LLC | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| Florida Medical Clinic LLC | Current | Accepting new patients |
Locations
10004 N Dale Mabry Hwy
Ste 101
Tampa, FL 33618
Phone (813) 391-3990
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651
Interoperability endpoints
- meghan.larose.1@31078.direct.athenahealth.com
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.
-
- Clinic/Center
- Zephyrhills, FL
- NPI 1821055690
-
- General Practice Physician
- Zephyrhills, FL
- NPI 1982381299
-
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
-
- Durable Medical Equipment & Medical Supplies
- Wesley Chapel, FL
- NPI 1427814847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1205282951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3095 E WALTON BLVD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483262370",
"telephone_number": "248-373-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3095 E WALTON BLVD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483262370",
"telephone_number": "248-373-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSE",
"first_name": "MEGHAN",
"middle_name": "ALYSSA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS FLORIDA BLUE",
"identifier": "6W1UL",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHAN",
"last_name": "EDWARDS",
"middle_name": "ALYSSA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.