Renee L. Larsen, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

A817 Issued in SC

Practice address

1962 Charlie Hall Blvd.
Charleston, SC 29414

Phone

(843) 722-8000

Fax

(843) 723-7850

NPI assigned

Jul 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Renee L. Gregor Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston Gastroenterology SpecialistsGroup PAC ID 3173437472, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
• Roper Hospital Hospital, Charleston, SC, CCN 420087
• Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
• Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Charleston Gastroenterology Specialists

  • Specialist
  • Charleston, SC
  • NPI 1205835865
  Medicare reassignment Care Compare group
• Charleston Gastroenterology Specialists

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1194231761
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours St. Francis Xavier Hospital Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation
• Roper St Francis Hospital-Berkeley Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646
  Care Compare affiliation
• Roper St. Francis Mount Pleasant Hospital

  dba Mount Pleasant Hospital

  • General Acute Care Hospital
  • Mount Pleasant, SC
  • NPI 1255645644
  Care Compare affiliation

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1740289511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 CHARLIE HALL BLVD.",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-722-8000",
            "fax_number": "843-723-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 CHARLIE HALL BLVD.",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-722-8000",
            "fax_number": "843-723-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "RENEE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "A817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "GREGOR",
            "middle_name": "L.",
            "prefix": "MISS",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luke Michael Larochelle, MD
• Elizabeth Albrittan Laroque-Gotbeter
• Angela Larosa, MD
• Liza Marie Larranaga
• Nicole K Larsen, PHARMD
• Eric J Larson, MD
• Heidi Larson
• Richard Sigurd Larson III, DNP
• Mark Griffith Larue, DMD
• Mary Catherine Lasater

• Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.

Verify at the official NPI Registry.