Lesley Rae Larsen, NMW

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1010030803 Issued in VT

Practice address

81 Medical Village Dr
Suite 2
Newport, VT 05855-9835

Phone

(802) 334-4110

Fax

(802) 334-4113

NPI assigned

Nov 1, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in VT

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Country Hospital and Health Center IncGroup PAC ID 9739073479, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/

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.

• North Country Hospital & Health Center Inc

  • Obstetrics & Gynecology Physician
  • Newport, VT
  • NPI 1295868008
  Medicare reassignment Care Compare group NPD
• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Medicare reassignment
• North Country Hospital & Health Center Inc

  • Rural Health Clinic/Center
  • Barton, VT
  • NPI 1104868892
  NPD
• North Country Hospital & Health Center Inc

  • Internal Medicine Physician
  • Newport, VT
  • NPI 1417023904
  NPD
• North Country Hospital & Health Center Inc

  • Surgery Physician
  • Newport, VT
  • NPI 1679551238
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649357385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL VILLAGE DR",
            "address_2": "SUITE 2",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559835",
            "telephone_number": "802-334-4110",
            "fax_number": "802-334-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL VILLAGE DR",
            "address_2": "SUITE 2",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559835",
            "telephone_number": "802-334-4110",
            "fax_number": "802-334-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAE LARSEN",
        "first_name": "LESLEY",
        "name_prefix": "Mrs.",
        "credential": "NMW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "1010030803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "78119",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF VERMONT",
            "identifier": "00068564",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADIES FIRST",
            "identifier": "8000748",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Leonard Provato, MD
• Providence Health Care LLC
• Providence Health Care, Inc.
• Morgan Provost, D.P.T.
• Megan Elizabeth Prue
• Tonya L Ratte, RN
• Retina and Vitreous of Delaware Valley, PC
• Desiree Ann Rice, MSOTR/L
• Johanne B Richardson, PT
• Rick Knights, Licsw, LLC

• Advanced Practice Midwife in Newport, VT
• Providers in Newport, VT by specialty
• Advanced Practice Midwife in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.