Lynn M Larson, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101017147 Issued in MI

Practice address

818 W King St Ste 101
Owosso, MI 48867-2159

Phone

(989) 729-4961

Fax

(989) 729-4958

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Lynn M Coraci Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare Home health agency, Owosso, MI, CCN 237101
• Absolute Home Health Care Home health agency, Grand Blanc, MI, CCN 237732
• Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Merit-based Incentive Payment System (MIPS)

Final score

82.58 of 100Reported as group

Quality

58.15

Promoting interoperability

100

Improvement activities

40

Cost

74.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: l.larson@memorialhealthcare.midirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Wellness Care Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Holly, MI
  • NPI 1508550583
  Medicare reassignment NPD
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1316008006
  NPD
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Absolute Home Health Care, Inc.

  • Home Health Agency
  • Grand Blanc, MI
  • NPI 1689729873
  Care Compare affiliation
• Memorial Hospital

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation
• Memorial Hospital

  • Home Health Agency
  • Owosso, MI
  • NPI 1952498610
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1104021765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672159",
            "telephone_number": "989-729-4961",
            "fax_number": "989-729-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672159",
            "telephone_number": "989-729-4961",
            "fax_number": "989-729-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LYNN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101017147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104021765",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "CORACI",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allie Nicole Langdon
• Shane Langdon
• Alyse Langhorst, MSW, LLMSW
• Roland Larkins
• David Michael Larner, RPH
• Tiffanie Deborah Lash
• Misty Lauchie, MA,LLPC
• Jennifer Eashoo Lawson, PA
• Tammy Lynn Lawson
• Kerry J Lazenby Jr., D.C.

• Internal Medicine Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.