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

Mrs. Jamie P Larsen, PAC

Individual provider Gynecology Physician · NPI 1659410983

Mrs. Jamie P Larsen, PAC is a Physician Assistant in Mesa, Arizona. Qualified in 2004, 22 years ago. Practices with Genesis OB GYN PLLC, a 108-clinician group and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
22
Licensed in
AZ, UT
In the registry since
2007
Specialties on file
3
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

2530 E Southern Ave
Mesa, AZ 85204-5411
Phone: (480) 834-4188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5177 (AZ)
Gynecology Physician Taxonomy 207VG0400X · Licence 57597411206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 57597411206 (UT)

Record details

NPI number1659410983
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Genesis Ob Gyn Pllc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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