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

Miss. Mallory Christine Larsen, PA-C

Individual provider Medical Physician Assistant · NPI 1255780656

Miss. Mallory Christine Larsen, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5330 E Stop 11 RD
Indianapolis, IN 46237-6345
Phone: (317) 893-1900
Fax: (317) 893-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1402 E County Line Rd, Indianapolis, IN 46227-0963 — (317) 887-7000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10002066A (IN)
Medical Physician Assistant Taxonomy 363AM0700X (IN)

Record details

NPI number1255780656
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 7, 2016
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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