P Praxis·MD
● Active Type 1 · Individual

Tucker Lloyd Larsen, PA-C

Physician Assistant·Plummer, ID· NPI 1245671379 · Enumerated 2013 · 12 years on NPI
Larsen is 1 of 3 physician assistant providers in Plummer and 1 of 1263 in Idaho.
NPI age
12 years
Enumerated 2013-07-17
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-12-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
2
In the 35% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
427 N 12th St.
Plummer, ID 83851
📞 2086861931
Mailing address
Po Box 388
Plummer, ID 838510388
📞 2086861931fax 2086860242

Specialties

  • Physician Assistant Primary
    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...
    ID license #PA-1457 taxonomy 363A00000X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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