Larissa Nelson, - Medicare Obstetrics/gynecology in Shakopee, MN

Larissa Nelson, is a medicare enrolled "Obstetrics & Gynecology" physician in Shakopee, Minnesota. She went to University Of North Dakota School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Park Nicollet Clinic and her current practice location is 1415 Saint Francis Ave, Suite 200, Shakopee, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-7750.

Larissa Nelson is licensed to practice in Minnesota (license number 45464) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861479875.

Contact Information

Larissa Nelson,
1415 Saint Francis Ave, Suite 200,
Shakopee, MN 55379-3374
(952) 993-7750
Not Available



Physician's Profile

Full NameLarissa Nelson
GenderFemale
SpecialityObstetrics/gynecology
Experience25 Years
Location1415 Saint Francis Ave, Shakopee, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larissa Nelson attended and graduated from University Of North Dakota School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1861479875
  • Provider Enumeration Date: 12/30/2005
  • Last Update Date: 03/05/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2466595426
  • Enrollment ID: I20100130000164

Medical Identifiers

Medical identifiers for Larissa Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861479875NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 45464 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381529

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larissa Nelson allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Entity NameHutchinson Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053508820
PECOS PAC ID: 0345330072
Enrollment ID: O20080312000695

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larissa Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Larissa Nelson,
3800 Park Nicollet Blvd, Credentialing,
St Louis Park, MN 55416-2527

Ph: () -
Larissa Nelson,
1415 Saint Francis Ave, Suite 200,
Shakopee, MN 55379-3374

Ph: (952) 993-7750

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Obstetrics & Gynecology Doctors in Shakopee, MN

Ann M. O'donnell, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7750    Fax: 952-993-7835
Susan Torkelson,
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1415 Saint Francis Ave, Suite 200, Shakopee, MN 55379
Phone: 952-993-7750    
Evan Jones Griffiths, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Saint Francis Ave, Ste 100, Shakopee, MN 55379
Phone: 952-428-3535    Fax: 952-428-3599
David A. Druckman, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7792    
Rachael Summers,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7750    
Dr. Jeffrey Donald Kendall, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7672    
Dr. Ashley Maria Hieronimus, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-3282    Fax: 952-993-7813

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