Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beau Larson

Individual provider Physician Assistant · NPI 1932087665

Beau Larson is a Physician Assistant in Missoula, Montana. Qualified in 2025, 1 year ago. Practices with Providence Health and Services Mt, a 358-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
1
Licensed in
MT
In the registry since
2025
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Practice location Address checks out

500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone: (406) 329-5615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-164422 (MT)

Record details

NPI number1932087665
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 21, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Providence Health and Services Mt

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 358 clinicians in the practice; 12 are shown here.

Other providers in Missoula