Individual provider Active NPI

Erinrose Bernadette Larsson, APRN

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1346068707
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.013916 Issued in CT
Practice address
675 Tower Ave Ste 401
Hartford, CT 06112-1272
Phone
(860) 714-2913
NPI assigned
Oct 2, 2024
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12.013916 CT Primary

Addresses

Primary practice location

675 Tower Ave Ste 401
Hartford, CT 06112-1272

Mailing address

675 Tower Ave
Hartford, CT 06112-1273

Other names 1

  • Erin-Rose Larsson Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erin-rose.larsson.1@27673.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212001080 CT Practitioner - Nurse Practitioner 4789114380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercy College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collins Medical Associates 2 PCGroup PAC ID 3779486345, 43 clinicians

Practice addresses (Care Compare)

675 Tower Ave
Suite 401
Hartford, CT 06112-1272
Phone (860) 714-2913

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13916CTMDOrthodontics and Dentofacial Orthopedic Dentist
12.013916CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Medical Associates 2 PC Single Specialty CurrentSince Jan 2, 2025 Accepting new patients
Collins Medical Associates 2 PC Single Specialty CurrentSince Jan 2, 2025 Accepting new patients

Locations

675 Tower Ave
Ste 401
Hartford, CT 06112
Phone (860) 714-2913

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

Interoperability endpoints

  • Direct secure messaging: erin-rose.larsson.1@27673.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27673/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1346068707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWER AVE STE 401",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121272",
            "telephone_number": "860-714-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSSON",
        "first_name": "ERINROSE",
        "middle_name": "BERNADETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.013916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin-rose.larsson.1@27673.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "675 Tower Ave Ste 401",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061121272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIN-ROSE",
            "last_name": "LARSSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.