Individual provider Active NPI

Rosemary Joy Larson, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1851286363
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA101842 Issued in MA
Practice address
100 Wason Ave Ste 100
Springfield, MA 01107-1299
Phone
(413) 732-7426
Fax
(413) 734-2371
NPI assigned
Jun 12, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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
Physician Assistant 363A00000X PA101842 MA Primary

Addresses

Primary practice location

100 Wason Ave Ste 100
Springfield, MA 01107-1299

Mailing address

14 Maple St
Uxbridge, MA 01569-1299
Phone (508) 375-8043

Other practice location 1

14 Maple St
Uxbridge, MA 01569-1299
Phone (508) 375-8043

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716002880 MA Practitioner - Physician Assistant 7214442342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Surgeons of Western New England LLCGroup PAC ID 5991746265, 16 clinicians

Practice addresses (Care Compare)

100 Wason Ave
Suite 100
Springfield, MA 01107-1179
Phone (413) 233-2052

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA101842MAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: rosemary.larson.1@30149.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1851286363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691299",
            "telephone_number": "508-375-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE STE 100",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071299",
            "telephone_number": "413-732-7426",
            "fax_number": "413-734-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Maple St",
            "address_purpose": "LOCATION",
            "city": "Uxbridge",
            "state": "MA",
            "postal_code": "015691299",
            "country_code": "US",
            "telephone_number": "508-375-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ROSEMARY",
        "middle_name": "JOY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA101842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.