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

Madeline Jo Larson, PA-C

Individual provider Dermatology Physician · NPI 1366247173

Madeline Jo Larson, PA-C is a Physician Assistant in Lafayette, Colorado. Qualified in 2025, 1 year ago. Practices with Boulder Valley Center for Dermatology LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
1
Licensed in
CO
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1140 W South Boulder Rd Ste 202
Lafayette, CO 80026-8910
Phone: (303) 604-1444
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0009316 (CO)
Dermatology Physician Taxonomy 207N00000X · Licence PA.0009316 (CO)

Record details

NPI number1366247173
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Boulder Valley Center For Dermatology Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lafayette