Larissa Rose Jarvis, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

438 Issued in MN

Practice address

347 Smith Ave N Ste 203
Saint Paul, MN 55102-2388

Phone

(651) 241-7733

Fax

(651) 241-7798

NPI assigned

Jun 10, 2020

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

• Larissa Rose-by-Allan Davisson Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.6 of 100Reported as group

Quality

72.5

Promoting interoperability

100

Improvement activities

40

Cost

77.07

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ljarvis314588@excellian.direct.allina.com

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.

• Allina Health System

  dba Allina Health Annandale Clinic

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249
  Medicare reassignment Care Compare group NPD
• Allina Health System

  dba United Plastic Surgery Clinic

  • Plastic Surgery Physician
  • Saint Paul, MN
  • NPI 1558871301
  NPD
• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• Allina Health System

  dba United Hospital

  • General Acute Care Hospital
  • Saint Paul, MN
  • NPI 1457319485
  NPD (past)
• Allina Health System

  dba Allina Health Nicollet Mall Clinic

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1467758813
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1104441666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "126-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 SMITH AVE N STE 203",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022388",
            "telephone_number": "651-241-7733",
            "fax_number": "651-241-7798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "968 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053014",
            "country_code": "US",
            "telephone_number": "651-895-2520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3270 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554164512",
            "country_code": "US",
            "telephone_number": "612-775-1800",
            "fax_number": "612-775-1805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3024 Snelling Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554061911",
            "country_code": "US",
            "telephone_number": "612-775-4900",
            "fax_number": "612-721-1621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7920 Old Cedar Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554251207",
            "country_code": "US",
            "telephone_number": "952-428-1800",
            "fax_number": "952-428-1723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14655 Galaxie Ave",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551248602",
            "country_code": "US",
            "telephone_number": "651-241-3779",
            "fax_number": "651-241-3831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8675 Valley Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252337",
            "country_code": "US",
            "telephone_number": "651-241-3000",
            "fax_number": "651-241-3205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "LARISSA",
        "middle_name": "ROSE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MIDWIFERY CERTIFICATION BOARD",
            "identifier": "CNM06410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "DAVISSON",
            "middle_name": "ROSE-BY-ALLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Ann Jaramillo, CRNA
• Kathryn Jargo
• Stephanie A Jarrett
• Annika Suzanne Jarvela
• Erika Jarvey, PA-C
• Laura Jarvis, PA-C
• Mary Elizabeth Jarvis, LICSW
• Sarah Anne Jasa
• Susan I Jasko, LICSW
• Jason a Smith DC PA

• Advanced Practice Midwife in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.