Active NPI
Jennifer Ruth Larson, PA-C
- Physician Assistant
- Shakopee, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9789
- Practice address
- 1515 Saint Francis Ave
Suite 150
Shakopee, MN 55379-3387 - Phone
- (952) 403-3399
- Fax
- (952) 403-3390
- NPI assigned
- May 10, 2006
- Last updated
- Jul 13, 2026
- 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 | 9789 | MN | Primary |
Addresses
Primary practice location
1515 Saint Francis Ave
Suite 150
Shakopee, MN 55379-3387
Mailing address
21195 Radisson Rd
Shorewood, MN 55331-9189
Phone (952) 470-3976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216702600 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
2310 Craig Rd
Eau Claire, WI 54701-6128
Phone (715) 858-8100
3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300
3545 Hwy 61 N
Vadnais Heights, MN 55110-5223
Phone (651) 439-8807
4010 W 65TH St
Edina, MN 55435-1706
Phone (952) 456-7000
5601 96TH Ave N
Brooklyn Park, MN 55443-4505
Phone (763) 786-9543
9630 Grove Cir N
Suite 200
Maple Grove, MN 55369-3492
Phone (763) 520-7870
965 Prairie Ctr Dr
Eden Prairie, MN 55344-3671
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.47 of 100
- Quality
- 79.03
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9789 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Adefris & Toppin Women's Specialists,MDPC | Past | Accepting new patients | |
| Orthopedic Surgical Consultants, P.a. | Physician Assistant | Past | Accepting new patients |
Locations
1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
1515 Saint Francis Ave
Ste 150
Shakopee, MN 55379
Phone (952) 403-1038
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
- jennifer.larson@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 10
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.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Orthopaedic Surgery Physician
- Shakopee, MN
- NPI 1295781920
Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Shakopee, MN
- NPI 1346389251
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
dba Memorial Hospital Inc Outreach Services
- Clinic/Center
- Neillsville, WI
- NPI 1033701800
-
- Obstetrics & Gynecology Physician
- Woodbury, MN
- NPI 1003821877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285684555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21195 RADISSON RD",
"city": "SHOREWOOD",
"state": "MN",
"postal_code": "553319189",
"telephone_number": "952-470-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SAINT FRANCIS AVE",
"address_2": "SUITE 150",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793387",
"telephone_number": "952-403-3399",
"fax_number": "952-403-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "JENNIFER",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216702600",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.