Active NPI
Barbara Jeanne Larson, PA-C
- Medical Physician Assistant
- Plymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA4622
- Practice address
- 116 Court St
Plymouth, MA 02360-8710 - Phone
- (508) 747-1318
- Fax
- (508) 747-1410
- NPI assigned
- Mar 31, 2006
- Last updated
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA002657L | PA | |
| Medical Physician Assistant | 363AM0700X | MA002657L | PA | |
| Medical Physician Assistant | 363AM0700X | PA4622 | MA | Primary |
Addresses
Primary practice location
116 Court St
Plymouth, MA 02360-8710
Mailing address
116 Court St
Plymouth, MA 02360-8710
Phone (508) 747-1318
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138350 | Other | PA | HEALTHAMERICA |
| 2517979 | Other | PA | UNITEDHEALTHCARE |
| 242966YHMK | Other | PA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3119 Cranberry Hwy
East Wareham, MA 02538-4840
Phone (508) 759-5411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lycoming Physician Services,Inc. | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- barbara.larson.1@4342.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Plymouth, MA
- NPI 1710016316
-
- Rehabilitation Clinic/Center
- East Harwich, MA
- NPI 1629165634
-
- Family Medicine Physician
- Shamokin Dam, PA
- NPI 1972876472
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
dba Spaulding Rehabilitation Hospital - Cape Cod
- Rehabilitation Hospital
- E Sandwich, MA
- NPI 1265489736
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1700847506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 COURT ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023608710",
"telephone_number": "508-747-1318",
"fax_number": "508-747-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 COURT ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023608710",
"telephone_number": "508-747-1318",
"fax_number": "508-747-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "BARBARA",
"middle_name": "JEANNE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA002657L",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA002657L",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA4622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "138350",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "2517979",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "242966YHMK",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.