NPIMap

Individual provider Active NPI

Abigail Lynn Larson, PA-C

  • Medical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1396441432
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0007770 Issued in CO
Practice address
2920 N Cascade Ave Ste 300
Colorado Springs, CO 80907-6262
Phone
(719) 636-1201
Fax
(719) 636-1326
NPI assigned
Jan 31, 2023
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0007770 CO
Medical Physician Assistant 363AM0700X PA.0007770 CO Primary

Addresses

Primary practice location

2920 N Cascade Ave Ste 300
Colorado Springs, CO 80907-6262

Mailing address

2920 N Cascade Ave Ste 300
Colorado Springs, CO 80907-6262
Phone (719) 636-1201

Other practice location 1

9403 Crown Crest Blvd Ste 420
Parker, CO 80138-9049
Phone (303) 925-4720

Other practice location 2

9949 S Oswego St Ste 200
Parker, CO 80134-3753
Phone (303) 925-4720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230324001024 CO Practitioner - Physician Assistant 4880068303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4975

9403 Crown Crest Blvd
Suite 420
Parker, CO 80138-9049
Phone (303) 925-4720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0007770COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Mar 1, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 1, 2023 Accepting new patients
Peak Gastroenterology Associates Gastroenterology Past Accepting new patients
Portercare Adventist Health System Gastroenterology PastSince Oct 17, 2021 Accepting new patients
Peak Gastroenterology Associates PC Gastroenterology Past Accepting new patients
Optum Peak Endoscopy Center LLC Past Accepting new patients
Portercare Adventist Health System Gastroenterology PastSince May 25, 2021 Accepting new patients
Peak Gastroenterology ASC LLC Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Surgical Center of Peak Endoscopy, LLC Past Accepting new patients

Locations

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2535 S Downing St
Ste 410
Denver, CO 80210
Phone (303) 260-2740

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9403 Crown Crest Blvd
Ste 420
Parker, CO 80138
Phone (303) 925-4720

9949 S Oswego St
Ste 200
Parker, CO 80134
Phone (303) 649-3100

Organizations & group practices 11

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 6

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1396441432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9403 Crown Crest Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801389049",
            "country_code": "US",
            "telephone_number": "303-925-4720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9949 S Oswego St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343753",
            "country_code": "US",
            "telephone_number": "303-925-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ABIGAIL",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007770",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0007770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.