Krista Nicole Larson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD200083 Issued in OR

Practice address

301 NE Knott St Ste 4102
Portland, OR 97212-3014

Phone

(305) 562-0588

Fax

(352) 265-1107

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Virginia School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knott Street Dermatology PCGroup PAC ID 8325050859, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.78 of 100Reported as group

Quality

77.59

Promoting interoperability

100

Improvement activities

40

Cost

85

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krista.larson@ksd.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EFJBAA

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.

• Knott Street Dermatology PC

  • Specialist
  • Portland, OR
  • NPI 1891741864
  Medicare reassignment Care Compare group NPD
• Larson Dermatology, LLC

  • Dermatology Physician
  • Portland, OR
  • NPI 1679405195
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1245693902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123014",
            "telephone_number": "503-253-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE KNOTT ST STE 4102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123014",
            "telephone_number": "305-562-0588",
            "fax_number": "352-265-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KRISTA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD200083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Larson, D.V.M.
• Kaylee Larson
• Kendall Larson
• Kevin T Larson, DMD
• Kimberly Ann Larson
• Kristina Lee Larson
• Melissa Larson
• Michael Larson, L.M.T.
• Nora Larson, LCSW, LICSW
• Olivia Larson

• Dermatology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.

Verify at the official NPI Registry.