Active NPI
Pamela A Larson, CRNA
- Certified Registered Nurse Anesthetist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R-120297-5
- Practice address
- 420 Delaware St SE
Minneapolis, MN 55455-0341 - Phone
- (612) 626-3000
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R-120297-5 | MN | Primary |
Addresses
Primary practice location
420 Delaware St SE
Minneapolis, MN 55455-0341
Mailing address
15966 71St PL N
Maple Grove, MN 55311-2543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1225 Jordan Creek Pkwy
Suite 180
West Des Moines, IA 50266-2345
4100 International PLZ
Fort Worth, TX 76109-4800
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-120297-5 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Central Minnesota Anesthesia Providers, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Minnesota, P.a. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
14054 Bank St
Becker, MN 55308
Phone (763) 260-8808
11225 Ulysses St NE
Blaine, MN 55434
Phone (763) 302-2600
9801 DuPont Ave S
Ste 100
Bloomington, MN 55431
8100 W 78th St
Ste 220
Minneapolis, MN 55439
Phone (952) 914-8400
6001 96th Ln N
Ste 200
Minneapolis, MN 55445
Phone (205) 263-2559
7400 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (612) 597-6316
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
16800 37th Pl N
Plymouth, MN 55446
Phone (763) 298-3500
2855 Campus Dr
Plymouth, MN 55441
Phone (763) 577-7000
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1526 Northway Dr
Saint Cloud, MN 56303
Phone (320) 251-8385
400 10th St E
Waconia, MN 55387
Interoperability endpoints
- pamela.larson.p21@direct.painphysicians.nextgenshare.com
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.
-
- Certified Registered Nurse Anesthetist
- Becker, MN
- NPI 1881689974
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1073552428
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1609925627
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1588669840
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710953054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15966 71ST PL N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553112543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550341",
"telephone_number": "612-626-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "PAMELA",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R-120297-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.