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

Peter Richard Larson, PAC

Individual provider Physician Assistant · NPI 1396706511

Peter Richard Larson, PAC is a Physician Assistant in Oak Park Heights, Minnesota. Qualified in 2001, 25 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
25
Licensed in
MN, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5803 Neal Ave N
Oak Park Heights, MN 55082-2177
Phone: (651) 439-8807
Fax: (651) 439-0232
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 9658 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 1424-23 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 9658 (MN)

Record details

NPI number1396706511
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 29, 2006
Last updated in NPPESAugust 26, 2021
Certification dateAugust 26, 2021
Mailing address5803 Neal Ave N, Oak Park Heights, MN 55082-2177

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Oak Park Heights