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Katelyn Mae Larsson , PA-C

Physician Assistant β€’ Pawtucket, RI

Active NPI 1174053888 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1145 Main St
Pawtucket, RI 028607825

Call 4017220081 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1145 Main St

Pawtucket, RI 028607825

Telephone 4017220081
Fax 4013120318
Organization at the Same NPPES Address or Phone
Blackstone Valley Community Health Care, Inc. Facility NPI 1275847766

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Blackstone Valley Community Health Care Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2017

30-day fills

386 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,721 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Katelyn Larsson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Katelyn Larsson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pawtucket and Rhode Island

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Pawtucket, RI (2024, 19 clinicians with data). Median for this group: 574. Middle half: 231 to 1,444.

Close to the middle for clinicians listed under Physician Assistant in Rhode Island (2024, 415 clinicians with data). Median for this group: 239. Middle half: 75 to 755.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Pawtucket, RI (2024, 19 clinicians with data). Median for this group: $30,072. Middle half: $2,673 to $113,406.

Close to the middle for clinicians listed under Physician Assistant in Rhode Island (2024, 415 clinicians with data). Median for this group: $3,014. Middle half: $628 to $40,612.

26 active clinicians are listed under Physician Assistant with a practice address in Pawtucket, RI (691 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pawtucket

19.2% of these 26 clinicians have the CMS telehealth indicator.

80.8% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Lisinopril Lisinopril 56 3,245 $654.12 12
Atorvastatin Calcium Atorvastatin Calcium 39 2,271 $489.30 11
Gabapentin Gabapentin 28 1,080 $388.28 β€”
Metformin Hcl Metformin Hcl 21 1,023 $163.81 β€”
Nifedipine Er Nifedipine 19 721 $450.25 β€”
Amlodipine Besylate Amlodipine Besylate 16 1,390 $29.62 β€”
Levothyroxine Sodium Levothyroxine Sodium 15 423 $157.35 β€”
Omeprazole Omeprazole 15 840 $260.95 β€”
Metoprolol Succinate Metoprolol Succinate 13 361 $126.98 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES RI PA00977

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20170815000972

Enrollment State Jurisdiction

RI

PECOS Control ID

4789956533

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Blackstone Valley Community Health Care Inc

39 E Ave, Pawtucket, RI 028604003

Phone: 4013129813

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Francisco Averhoff

Family Medicine

NPI 1760660443
Anne Barylick , FNP-BC

Nurse Practitioner - Family

NPI 1275064933

Family Nurse Practitioner (Board Certified)

Charlotte Crider

Family Medicine

NPI 1063152916
Kelly Cunningham , FNP-C

Nurse Practitioner - Family

NPI 1659739522

Family Nurse Practitioner (Certified)

Philomene Fortes

Nurse Practitioner - Family

NPI 1235568171
NPI 1942230990

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 06, 2025

Registered at 1145 MAIN ST, PAWTUCKET, RI 028607825 (Tel: 4017220081)

πŸ‘€
Provider Name / Credentials Updated July 08, 2019

Recorded as KATELYN LARSSON, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2019

Physician Assistant (license number reported to NPPES: RI PA00977)

βœ…
NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 14, 2017

Registered at 21 PEACE ST, PROVIDENCE, RI 029071510 (Tel: 4014564080)

πŸ“
Business Mailing Address (Initial Record) June 14, 2017

Registered at 21 PEACE ST, PROVIDENCE, RI 029071510

πŸ‘€
Provider Name / Credentials (Initial Record) June 14, 2017

Recorded as KATELYN HIGGINS, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Physician Assistant

🟒
Initial NPI Registration & Enumeration June 14, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174053888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2017
Last Update: October 06, 2025
Sole Proprietor: No

Other Physician Assistants in Pawtucket

All Physician Assistants in Pawtucket

Mailing Address

21 Peace St

Providence, RI 029071510

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.