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

Jill C. Larson, DO

Individual provider Family Medicine Physician · NPI 1174612253

Jill C. Larson, DO is a Family Practice in Mukwonago, Wisconsin. Graduated from Michigan State University College of Osteopathic Medicine in 2005, 21 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
21
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

240 Maple Ave Prohealth Care Medical Associates Inc
Mukwonago, WI 53149-8475
Phone: (262) 928-1900
Fax: (262) 928-1949
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 49669-021 (WI)

Record details

NPI number1174612253
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESNovember 9, 2011
Mailing addressN17 W24100 Riverwood Dr., Prohealth Care Medical Associates, Inc., Waukesha, WI 53188-1177

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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