Active NPI
Sheila Adel Larsen, PHYSICIAN ASSISTANT
- Physician Assistant
- Cedar City, UT
National Provider Identifier
1205419884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13287153-1206
- Practice address
- 1320 N Main St Ste 103
Cedar City, UT 84721-1230 - Phone
- (435) 586-1276
- Fax
- (435) 586-1327
- NPI assigned
- May 3, 2021
- Last updated
- May 21, 2024
- 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 | 13287153-1206 | UT | Primary |
Addresses
Primary practice location
1320 N Main St Ste 103
Cedar City, UT 84721-1230
Mailing address
624 S 1000 E Ste 103
St George, UT 84790-5902
Phone (435) 652-1135
Other practice location 1
624 S 1000 E Ste 103
St George, UT 84790-5902
Phone (435) 652-1135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205419884 | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | slarsen51597@direct.acumenmd.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 N Main St
Suite 103
Cedar City, UT 84721-1230
Phone (435) 652-1135
624 S 1000
Suite 103
St George, UT 84790-5902
Phone (435) 652-1135
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alberto Souza, PLLC | Past | Accepting new patients |
Interoperability endpoints
- slarsen51597@direct.acumenmd.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southern Utah Kidney and Hypertension
- Nephrology Physician
- St George, UT
- NPI 1134588957
-
dba Integrated Psych, LLC
- Psychiatric/Mental Health Nurse Practitioner
- St George, UT
- NPI 1972141588
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Beaver, UT
- NPI 1174979108
-
dba Intermountain Health Garfield Memorial Hospital
- Critical Access Hospital
- Panguitch, UT
- NPI 1508836867
-
dba Intermountain Health Sevier Valley Hospital
- General Acute Care Hospital
- Richfield, UT
- NPI 1336256775
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Intermountain Health Cedar City Hospital
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1205419884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 S 1000 E STE 103",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847905902",
"telephone_number": "435-652-1135",
"fax_number": "435-652-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N MAIN ST STE 103",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847211230",
"telephone_number": "435-586-1276",
"fax_number": "435-586-1327"
}
],
"practiceLocations": [
{
"address_1": "624 S 1000 E Ste 103",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847905902",
"country_code": "US",
"telephone_number": "435-652-1135",
"fax_number": "435-652-1190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSEN",
"first_name": "SHEILA",
"middle_name": "ADEL",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "13287153-1206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205419884",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "slarsen51597@direct.acumenmd.com",
"affiliation": "N",
"address_1": "1320 N Main St Ste 103",
"city": "Cedar City",
"state": "UT",
"country_code": "US",
"postal_code": "847211230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cedar City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.