Active NPI
Jennifer Larson, ARNP
- Nurse Practitioner
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 100183
- Practice address
- 3624 Brooks St Ste 101
Missoula, MT 59801-7338 - Phone
- (888) 227-3312
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 6338 | MT | |
| Family Nurse Practitioner | 363LF0000X | AP61059800 | WA | |
| Nurse Practitioner | 363L00000X | 100183 | MT | Primary |
Addresses
Primary practice location
3624 Brooks St Ste 101
Missoula, MT 59801-7338
Mailing address
3624 Brooks St Ste 101
Missoula, MT 59801-7338
Phone (888) 227-3312
Other practice location 1
2825 Fort Missoula Rd
121
Missoula, MT 59804-7420
Phone (406) 728-4920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4303788 | Medicaid | MT | |
| 000374300 | Other | MT | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlarson280603@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.49 of 100
- Quality
- 86.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100183 | MT | MD | Nurse Practitioner |
| AP61059800 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Intermountain Planned Parenthood | Past | Accepting new patients | |
| Intermountain Planned Parenthood Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Planned Parenthood of Montana Helena
- Non-Pharmacy Dispensing Site
- Helena, MT
- NPI 1558938514
-
dba Planned Parenthood of Montana
- Non-Surgical Family Planning Clinic/Center
- Billings, MT
- NPI 1134297179
Obstetrics & Gynecology
-
dba Providence St. Peter Chemical Dependency Center
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1184675233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 BROOKS ST STE 101",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598017338",
"telephone_number": "888-227-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3624 BROOKS ST STE 101",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598017338",
"telephone_number": "888-227-3312"
}
],
"practiceLocations": [
{
"address_1": "2825 Fort Missoula Rd",
"address_2": "121",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598047420",
"country_code": "US",
"telephone_number": "406-728-4920",
"fax_number": "406-728-4656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "JENNIFER",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "6338",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61059800",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "100183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4303788",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000374300",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlarson280603@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3624 Brooks St Ste 101",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598017338",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.