Individual provider Active NPI

Christine Leeann Larsen, M.D.

  • Ophthalmology Physician
  • Bloomington, MN
National Provider Identifier
1629230206
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
56362 Issued in MN
Practice address
9801 Dupont Ave S
Bloomington, MN 55431-3100
Phone
(952) 888-5800
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 56846-20 WI
Ophthalmology Physician 207W00000X 56362 MN Primary

Addresses

Primary practice location

9801 Dupont Ave S
Bloomington, MN 55431-3100

Mailing address

9801 Dupont Ave S
Bloomington, MN 55431-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20130717000324 MN Practitioner - Ophthalmology 4587824297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians
Minnesota Eye Consultants, PAGroup PAC ID 4284524539, 34 clinicians

Practice addresses (Care Compare)

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

9801 Dupont Ave S
Suite 200
Bloomington, MN 55431-3200
Phone (952) 888-5800

Merit-based Incentive Payment System (MIPS)

Final score
80.11 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
60.18

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56362MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
Minnesota Eye Consultants, PA Ophthalmology CurrentSince Aug 1, 2013 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Sep 15, 2013 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Sep 15, 2013 Accepting new patients

Locations

11091 Ulysses St NE
Ste 400
Blaine, MN 55434
Phone (763) 421-9410

11091 Ulysses St NE
Ste 300
Blaine, MN 55434
Phone (763) 421-9410

9801 DuPont Ave S
Ste 100
Bloomington, MN 55431

9801 DuPont Ave S
Ste 200
Minneapolis, MN 55431

9801 DuPont Ave S
Minneapolis, MN 55431
Phone (952) 215-7419

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

9801 DuPont Ave S
Ste 425
Minneapolis, MN 55431
Phone (952) 567-6092

10709 Wayzata Blvd
Ste 200
Minnetonka, MN 55305

7125 Tamarack Rd
Ste 200
Woodbury, MN 55125
Phone (651) 748-4444

7125 Tamarack Rd
Ste 100
Woodbury, MN 55125

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1629230206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 DUPONT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 DUPONT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313100",
            "telephone_number": "952-888-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "CHRISTINE",
        "middle_name": "LEEANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "56846-20",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "56362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.