LARRY NILSSON PA-C NPI 1033197595

NPI Information

  • NPI: 1033197595
  • Provider Name: LARRY NILSSON, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 4010 WEST 65TH STREET
    TWIN CITIES ORTHOPEDICS
    EDINA, MN
    ZIP 55435
  • Phone: (952) 944-2519

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NPI Details

Larry Nilsson, PA-C is a physician assistant in Edina, MN. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Larry Nilsson, PA-C NPI is 1033197595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4010 WEST 65TH STREET
TWIN CITIES ORTHOPEDICS
EDINA, MN
ZIP 55435-800
Phone: (952) 944-2519
Fax: (952) 944-0460

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Reconstruction of ankle joint with prosthesis (HCPCS:27702)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Secondary repair of disrupted collateral ligament of ankle (HCPCS:27698)
  • Correction of bunion with 2 areas of realignment (HCPCS:28299)
  • Fusion of foot in midfoot region (HCPCS:28740)
  • Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 1/5/2006 and was last updated on 6/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant9754MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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