Individual provider Active NPI

Anne Marie Larsen, CNM

  • Midwife
  • Lewistown, MT
National Provider Identifier
1356963268
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
NUR-APRN-LIC-158682 Issued in MT
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

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
2021036797MOMDMidwife
NUR-APRN-LIC-158682MTMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Springfield CurrentSince Oct 28, 2024 Accepting new patients
Mercy Hospital Springfield CurrentSince Oct 28, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.