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

Nicole Marie Larson, PA-C

Individual provider Medical Physician Assistant · NPI 1952422586

Nicole Marie Larson, PA-C is a Physician Assistant in Latrobe, Pennsylvania. Qualified in 2006, 20 years ago. Licensed in Pennsylvania.

Years since qualifying
20
Licensed in
PA
In the registry since
2007
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

1 Mellon Way
Latrobe, PA 15650-1197
Phone: (724) 689-0520
Fax: (724) 689-0522
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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 MA053443 (PA)

Record details

NPI number1952422586
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

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