Individual provider Active NPI

Christine M Larson, APNP FNP-BC

  • Family Nurse Practitioner
  • Wauwatosa, WI
National Provider Identifier
1740566223
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4607-33 Issued in WI
Practice address
10701 W Research Dr
Wauwatosa, WI 53226-3452
Phone
(262) 345-5343
Fax
(262) 438-1327
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4607-33 WI Primary

Addresses

Primary practice location

10701 W Research Dr
Wauwatosa, WI 53226-3452

Mailing address

12168 W Virginia Cir
Unit 7
Franklin, WI 53132-2051
Phone (414) 378-9895

Other identifiers 1

IdentifierTypeStateIssuer
2011006035OtherWIANCC CERTIFICATION FNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20121016000276 WI Practitioner - Nurse Practitioner 0143470815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Medical SCGroup PAC ID 0042595175, 118 clinicians

Practice addresses (Care Compare)

9047 W Greenfield Ave
Milwaukee, WI 53214-2808
Phone (414) 453-9290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4607-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Medical SC CurrentSince Nov 3, 2025 Accepting new patients
Oak Medical SC CurrentSince Nov 3, 2025 Accepting new patients

Locations

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

9047 W Greenfield Ave
West Allis, WI 53214
Phone (414) 453-9290

Organizations & group practices 2

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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1740566223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12168 W VIRGINIA CIR",
            "address_2": "UNIT 7",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531322051",
            "telephone_number": "414-378-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W RESEARCH DR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263452",
            "telephone_number": "262-345-5343",
            "fax_number": "262-438-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "APNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4607-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION FNP",
            "identifier": "2011006035",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.