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

Kristin Michelle Larson, PAC

Individual provider Physician Assistant · NPI 1730142142

Kristin Michelle Larson, PAC is a Physician Assistant in Maplewood, Minnesota. Qualified in 1999, 27 years ago. Practices with Allergy and Asthma Center of Minnesota PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
27
Licensed in
MN
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

2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568
Phone: (612) 444-3247
Fax: (612) 888-9247
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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 9474 (MN)

Record details

NPI number1730142142
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Allergy And Asthma Center Of Minnesota Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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