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

Dr. Nathan Michael Larsen, MD

Individual provider Emergency Medicine Physician · NPI 1992887848

Dr. Nathan Michael Larsen, MD is an Emergency Medicine in Waupaca, Wisconsin. Graduated from Medical College of Wisconsin in 2004, 22 years ago. Practices with Thedacare Regional Medical Center - Appleton, Inc, a 12-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

800 Riverside Dr
Waupaca, WI 54981-1943
Phone: (715) 258-1000
Fax: (715) 258-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 225 Memorial Dr, Berlin, WI 54923-1243 — (920) 361-1313
  • 1405 Mill St, New London, WI 54961-2155 — (920) 531-2000
  • 100 County Road B, Shawano, WI 54166-7072 — (715) 526-2111

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 48825-020 (WI)

Record details

NPI number1992887848
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESNovember 17, 2022
Certification dateAugust 3, 2022
Mailing address800 Riverside Dr, Waupaca, WI 54981-1943

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2004 (22 years in practice)
Group practice Thedacare Regional Medical Center - Appleton, Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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