Amanda Larson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71011379A Issued in IN

Practice address

302 N Johnson Rd
Mooresville, IN 46158-5504

Phone

(317) 941-7338

NPI assigned

Jul 30, 2021

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

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Proactive Clinical Partners - AcoGroup PAC ID 5890154884, 30 clinicians

Proactive Clinical PartnersGroup PAC ID 8527315852, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

25.45 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

84.83

Merit-based Incentive Payment System (MIPS)

Final score

76.42 of 100Reported as apm

Quality

55.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Proactive Clinical Partners

  • Gerontology Nurse Practitioner
  • Indianapolis, IN
  • NPI 1366934242
  Medicare reassignment Care Compare group NPD
• Proactive Clinical Partners - Aco

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1821709031
  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1538832944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 KEYSTONE CROSSING SUITE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46240",
            "telephone_number": "317-941-7338",
            "fax_number": "317-969-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N JOHNSON RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461585504",
            "telephone_number": "317-941-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011379A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Limited Partnership I
• Erica Ladyman
• Adria Lenore Lambert, LAC
• Anca Lamse, M.D.
• Tabatha D Landrum, NP
• Hannah Marie Laskey, FNP
• Lance Lawyer, PA-C
• Lean on Me Indy LLC
• Casey Lesniak, DO
• Liles Orthodontics LLC

• Family Nurse Practitioner in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.