Active NPI 1982690145 Individual Practitioner Female Practitioner

Shelly Lynn Larson , PA-C

Physician Assistant • Saint Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shelly Larson, PA-C is a certified Physician Assistant practicing in Saint Paul, MN. With approximately 23 years of clinical experience since completing medical education in 2003, Shelly Larson delivers high-quality medical care to the local community at 4480 CENTERVILLE RD.

Shelly Larson is affiliated with Allina Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4480 Centerville Rd

Saint Paul, MN 551273674

Telephone 6514842724

Fax 6514842723

Associated Practice Facility / Clinic

🏢 Advanced Dermatology Care Medical Cosmetic And Surgery Pa Facility NPI 1073614558

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Saint Paul, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +13.1 yrs vs City Avg

City Avg: 9.9 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

386 Specialists

Practicing in Saint Paul, MN (4026 Statewide)

Telehealth Adoption Rate

13.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Larson (23 Years) 23 Yrs

Saint Paul Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	598	149	$8.60	$5.63
17000 Destruction of skin growth	252	212	$85.60	$44.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	159	$408.50	$105.31
99213 Established patient office or other outpatient visit, typically 15 minutes	208	172	$288.90	$74.88
11102 Tangential biopsy of single skin lesion	115	109	$470.30	$75.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$359.00	$91.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$532.50	$134.34
17110 Destruction of up to 14 skin growths	55	53	$144.90	$92.24
11103 Biopsy of related skin growth, each additional growth	52	33	$232.80	$42.29
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	46	36	$157.40	$86.17
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	37	28	$131.60	$64.25
17004 Destruction of precancer skin growth, 15 or more growths	23	19	$215.00	$140.70
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$178.00	$108.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	455	107	$8.60	$5.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	133	$394.40	$106.10
17000 Destruction of skin growth	180	152	$85.60	$43.66
99213 Established patient office or other outpatient visit, typically 15 minutes	176	145	$279.70	$75.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$346.00	$93.14
11102 Tangential biopsy of single skin lesion	98	91	$464.40	$79.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$515.30	$138.46
17110 Destruction of up to 14 skin growths	68	56	$144.90	$89.45
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	59	47	$157.40	$89.71
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	39	30	$131.60	$66.14
11103 Biopsy of related skin growth, each additional growth	37	23	$231.50	$43.15
36415 Insertion of needle into vein for collection of blood sample	16	13	$17.00	$7.88
69100 Biopsy of ear	12	12	$438.60	$58.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	547	116	$7.00	$5.88
17000 Destruction of skin growth	210	173	$80.00	$40.67
99213 Established patient office or other outpatient visit, typically 15 minutes	193	155	$266.40	$76.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	135	$378.70	$107.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$326.00	$92.03
11102 Tangential biopsy of single skin lesion	109	101	$446.20	$75.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$490.00	$136.72
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	85	66	$148.00	$91.83
17110 Destruction of up to 14 skin growths	44	44	$100.00	$85.37
11103 Biopsy of related skin growth, each additional growth	42	26	$224.50	$43.94
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	29	25	$122.00	$62.86
69100 Biopsy of ear	20	20	$418.80	$66.31
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$172.00	$119.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$166.00	$47.66
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	18	$151.00	$94.72
17004 Destruction of precancer skin growth, 15 or more growths	18	12	$135.00	$133.81
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	16	15	$168.00	$107.87
36415 Insertion of needle into vein for collection of blood sample	13	11	$17.00	$2.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	435	91	$7.00	$5.75
17000 Destruction of skin growth	149	130	$80.00	$40.31
11102 Tangential biopsy of single skin lesion	101	98	$409.00	$77.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	87	$304.00	$110.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$301.00	$94.83
99213 Established patient office or other outpatient visit, typically 15 minutes	89	77	$210.00	$77.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$460.00	$138.19
17110 Destruction of up to 14 skin growths	43	34	$100.00	$91.46
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	38	30	$148.00	$93.61
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	28	17	$122.00	$47.53
11103 Biopsy of related skin growth, each additional growth	27	19	$217.00	$46.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$127.00	$48.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	336	80	$6.88	$5.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	197	$117.34	$92.59
17000 Destruction of skin growth	172	119	$69.29	$47.25
99213 Established patient office or other outpatient visit, typically 15 minutes	132	106	$79.79	$63.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$164.66	$91.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	50	$46.57	$38.76
11102 Tangential biopsy of single skin lesion	48	44	$104.63	$77.83
17110 Destruction of up to 14 skin growths	40	34	$121.20	$89.63
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	31	30	$126.32	$93.53
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$83.10	$64.56
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	17	$148.75	$109.63
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	13	$402.95	$382.81
96574 Application of light with debridement to destroy precancer skin growth	15	14	$281.93	$234.45
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$138.31	$98.53
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	11	11	$108.00	$63.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	558	115	$6.51	$4.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	435	306	$120.16	$91.20
17000 Destruction of skin growth	276	167	$71.32	$44.93
99213 Established patient office or other outpatient visit, typically 15 minutes	221	168	$81.46	$62.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	81	$48.28	$37.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$122.17	$90.22
17110 Destruction of up to 14 skin growths	72	59	$121.93	$84.63
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	60	56	$136.95	$91.27
11102 Tangential biopsy of single skin lesion	58	56	$103.52	$72.91
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	41	33	$108.93	$54.71
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	30	23	$414.00	$392.64
96574 Application of light with debridement to destroy precancer skin growth	23	23	$288.70	$220.72
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	18	16	$129.22	$88.35
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	16	$145.00	$107.62
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	14	$163.88	$107.58
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$143.76	$115.07
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$93.00	$64.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	15	$208.80	$148.24
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	13	$124.77	$99.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	355	83	$8.09	$4.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	204	$122.64	$90.17
17000 Destruction of skin growth	181	113	$79.01	$45.44
99213 Established patient office or other outpatient visit, typically 15 minutes	174	129	$84.28	$61.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$128.48	$89.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	47	$50.52	$36.87
17110 Destruction of up to 14 skin growths	48	39	$134.63	$88.01
11100 Biopsy of single growth of skin and/or tissue	45	43	$126.00	$84.10
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	39	32	$142.59	$83.37
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$91.32	$63.06
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	14	$407.44	$394.47
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	16	$176.33	$109.69
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	16	15	$129.50	$73.15
96574 Application of light with debridement to destroy precancer skin growth	15	14	$284.47	$209.48
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	12	$237.79	$136.88
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	11	$152.46	$95.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	347	81	$25.00	$4.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	193	$230.00	$87.79
99213 Established patient office or other outpatient visit, typically 15 minutes	187	146	$157.00	$59.65
17000 Destruction of skin growth	170	124	$180.00	$44.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$233.00	$87.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	51	$95.00	$35.77
17110 Destruction of up to 14 skin growths	48	42	$247.00	$84.21
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	45	38	$266.00	$85.12
11100 Biopsy of single growth of skin and/or tissue	43	42	$230.00	$77.31
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$161.00	$58.75
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	21	19	$254.00	$84.31
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$313.00	$109.19
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	12	$217.00	$59.56
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	11	$393.00	$145.09

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9815

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.

Hospital & Practice Group Affiliations

Allina Health System

2925 Chicago Ave, Minneapolis, MN 554071321

Allina Health System

701 Dellwood St S, Cambridge, MN 550081920

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Allina Health System

701 Dellwood St S, Cambridge, MN 550081920

Phone: 7636889527

Allina Health System

2925 Chicago Ave, Minneapolis, MN 554071321

Phone: 6122627476

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Emmah Griswold , PA-C

Physician Assistant

NPI 1013884691

Physician Assistant (Certified)

Brooke Elvehjem , PA-C

Physician Assistant

NPI 1174281034

Physician Assistant (Certified)

Dr. Olaf Rustad , MD

Dermatology

NPI 1174586440

Doctor of Medicine (M.D.)

Vanessa Seiberlich

Physician Assistant

NPI 1275265514

Abigail Tracy , PA-C

Physician Assistant

NPI 1336724590

Physician Assistant (Certified)

Allison Nelson , PA-C

Physician Assistant

NPI 1497399901

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 14, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 14, 2012

Registered at 4480 CENTERVILLE RD, SAINT PAUL, MN 551273674 (Tel: 6514842724)

📍

Updated Business Mailing Address May 14, 2012

Registered at 4480 CENTERVILLE RD, SAINT PAUL, MN 551273674 (Tel: 6514842724)

👤

Provider Name / Credentials Updated May 14, 2012

Recorded as SHELLY LARSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2012

Physician Assistant (License #9815 in MN)

🟢

Initial NPI Registration & Enumeration September 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982690145

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 23, 2005

Last Update: May 14, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4480 Centerville Rd

Saint Paul, MN 551273674

Phone: 6514842724

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.