Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Katelyn Mae Larsson, PA-C

Individual provider Physician Assistant · NPI 1174053888

MS. Katelyn Mae Larsson, PA-C is a Physician Assistant in Pawtucket, Rhode Island. Qualified in 2017, 9 years ago. Practices with Blackstone Valley Community Health Care Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
9
Licensed in
RI
In the registry since
2017
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

1145 Main St
Pawtucket, RI 02860-7825
Phone: (401) 722-0081
Fax: (401) 312-0318
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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 PA00977 (RI)

Record details

NPI number1174053888
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Blackstone Valley Community Health Care Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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