Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bruce D Larson, PAC

Individual provider Physician Assistant · NPI 1265470371

Bruce D Larson, PAC is a Physician Assistant in Lisbon, North Dakota. Qualified in 2000, 26 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
26
Licensed in
ND
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

819 Main St
Lisbon, ND 58054-4244 Not confirmed with CMS for 10 years — call before visiting
Phone: (701) 683-4134
Fax: (701) 683-4094
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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 PAC0257 (ND)

Record details

NPI number1265470371
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESFebruary 19, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients92
Services billed 263 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Essentia Health Hospital · Fargo, ND

Colleagues at Innovis Health LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 573 clinicians in the practice; 12 are shown here.

Other providers in Lisbon