Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tucker Lloyd Larsen, PA-C

Individual provider Mental Health Counselor · NPI 1245671379

Tucker Lloyd Larsen, PA-C is a Physician Assistant in Plummer, Idaho. Graduated from University of Washington School of Medicine in 2016, 10 years ago. Practices with Benewah Medical Center, a 28-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Trained at
University of Washington School of Medicine
Licensed in
ID
In the registry since
2013
Specialties on file
3
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

427 N 12th St
Plummer, ID 83851
Phone: (208) 686-1931
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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 PA-1457 (ID)
Mental Health Counselor Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245671379
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2013
Last updated in NPPESDecember 8, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Benewah Medical Center — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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