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

Shelby Lee Larson, APRN/CNP

Individual provider Family Nurse Practitioner · NPI 1578056990

Shelby Lee Larson, APRN/CNP is a Nurse Practitioner in Ashland, Wisconsin. Qualified in 2018, 8 years ago. Practices with Memorial Medical Center Inc, a 78-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
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Practice location Address checks out

1615 Maple Ln Ste 1
Ashland, WI 54806-3610
Phone: (715) 685-7500
Fax: (715) 682-2481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 178107 (WI)

Record details

NPI number1578056990
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN/CNP
Sole proprietorNo
NPI enumeratedJune 11, 2018
Last updated in NPPESJune 11, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Memorial Medical Center Inc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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