Doctor profile · Federal record

Dr. LARISSA NELSON

Obstetrics & Gynecology Physician (CMS: OBSTETRICS/GYNECOLOGY) · SHAKOPEE, MN

  • NPI 1861479875
  • Accepts Medicare
  • 27 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1415 SAINT FRANCIS AVE, SUITE 200
SHAKOPEE, MN 553793374
(952) 993-7750
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING
ST LOUIS PARK, MN 554162527

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
March 5, 2012
Year of graduation
1999 — 27 yrs since
Specialty taxonomy
207V00000X — NUCC code
State license (1)
Minnesota #45464

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1861479875. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
14
Distinct HCPCS
1
Medicare allowed
$1,231
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 14 11 $88

In context: peer comparison

Among 1 peers in this city , average services per provider: 14. This provider delivers 1.0× the peer median.