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

Dr. Shelly Lea Larson-Peters, MD

Individual provider Neurology Physician · NPI 1336333509

Dr. Shelly Lea Larson-Peters, MD is a Neurology in Blaine, Minnesota. Qualified in 2003, 23 years ago. Practices with Minneapolis Clinic of Neurology Ltd, a 75-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11091 Ulysses St Ste 100
Blaine, MN 55434-4238
Phone: (612) 879-1000
Fax: (612) 879-9116
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 50897 (MN)

Record details

NPI number1336333509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2007
Last updated in NPPESJuly 30, 2023
Certification dateJuly 30, 2023

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Minneapolis Clinic Of Neurology Ltd — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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