Individual provider Active NPI

Alissa L Larson, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1457872509
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
031183 Issued in NY
Practice address
1300 Jefferson Rd Suite 100
Rochester, NY 14642-2545
Phone
(585) 413-1800
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 12475 MN
Physician Assistant 363A00000X 031183 NY Primary

Addresses

Primary practice location

1300 Jefferson Rd Suite 100
Rochester, NY 14642-2545

Mailing address

601 Elmwood Ave Box 655
Rochester, NY 14642-8655

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alarson326969@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240131000970 NY Practitioner - Physician Assistant 7911263108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians
University of Rochester Urgent CareGroup PAC ID 2567772676, 63 clinicians

Practice addresses (Care Compare)

2047 W Ridge Rd
Rochester, NY 14626-2718
Phone (585) 276-1900

2070 Empire Blvd
Webster, NY 14580-1917

2134 Penfield Rd
Penfield, NY 14526-1736
Phone (585) 276-8280

3400 Monroe Ave
Rochester, NY 14618-4725
Phone (585) 203-1055

42 Nichols St
Spencerport, NY 14559-2180
Phone (585) 349-7094

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 784-2972

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

738 Library Rd
Rochester, NY 14642-0001
Phone (585) 275-2638

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
68.61
Promoting interoperability
100
Improvement activities
40
Cost
75.56

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12475MNMDSocial Worker
031183NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Mar 4, 2024 Accepting new patients
University of Rochester CurrentSince Mar 4, 2024 Accepting new patients
Allina Health System Past Accepting new patients
Ecc Addiction & Toxicology Services LLC Past Accepting new patients

Locations

601 Elmwood Ave
#684
Rochester, NY 14642
Phone (585) 784-9503

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
#655
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: alarson485690@direct.urmc.rochester.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1457872509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 655",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 JEFFERSON RD SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146422545",
            "telephone_number": "585-413-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ALISSA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12475",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "031183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alarson326969@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "225 Smith Ave N Ste 500",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551022545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.