Active NPI
Anne Marie Larsen, CNM
- Midwife
- Lewistown, MT
National Provider Identifier
1356963268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- NUR-APRN-LIC-158682
- Practice address
- 2298 Gilt Edge Stage
Lewistown, MT 59457-2087 - Phone
- (406) 538-3925
- NPI assigned
- May 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | NUR-APRN-LIC-158682 | MT | Primary |
| Midwife | 176B00000X | 2021036797 | MO |
Addresses
Primary practice location
2298 Gilt Edge Stage
Lewistown, MT 59457-2087
Mailing address
2298 Gilt Edge Stage
Lewistown, MT 59457-2087
Phone (406) 538-3925
Other practice location 1
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021036797 | MO | MD | Midwife |
| NUR-APRN-LIC-158682 | MT | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
Interoperability endpoints
- anne.larsen@tx108.digichart.direct-ci.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1043242159
-
- Medicare Defined Swing Bed Hospital Unit
- Springfield, MO
- NPI 1053907113
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1356963268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2298 GILT EDGE STAGE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572087",
"telephone_number": "406-538-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2298 GILT EDGE STAGE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572087",
"telephone_number": "406-538-3925"
}
],
"practiceLocations": [
{
"address_1": "1235 E Cherokee St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658042203",
"country_code": "US",
"telephone_number": "417-820-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSEN",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MT",
"license": "NUR-APRN-LIC-158682",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MO",
"license": "2021036797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.