Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Larsen

Individual provider Physician Assistant · NPI 1578050068

Andrea Larsen is a Physician Assistant in Buffalo, New York. Qualified in 2018, 8 years ago. Practices with Buffalo Spine Medicine and Rehab PLLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

100 College Pkwy
Buffalo, NY 14221-6800
Phone: (716) 626-0093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022121 (NY)

Record details

NPI number1578050068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 19, 2018
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address4360 Rushford Dr, Hamburg, NY 14075-3081

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Buffalo Spine Medicine And Rehab Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Buffalo