Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Lisa Carol Larson, PAC
Physician Assistant in Chaska, MN · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1417945940
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Registry record
Entity type Individual (Type 1)
Name Mrs. Lisa Carol Larson
Credential PAC
Sex Female
Practice address 822 Yellow Brick Rd, Chaska, MN, 55318
Phone (952) 448-3303
Fax (952) 448-4409
Enumeration date Oct 10, 2005
Last updated in NPPES Jul 13, 2026
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9622 (MN) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 414338800 | Medicaid | MN | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Lisa Larson's NPI record?
Cross-check NPI 1417945940 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1417945940 active?
Yes, as of the latest NPPES snapshot, NPI 1417945940 is active (record last updated 2026-07-13).
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-13.