NPIMap

Individual provider Active NPI

Magnolia Jean Larson, DO

  • Family Medicine Physician
  • Verona, WI
National Provider Identifier
1841459658
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60918 Issued in WI
Practice address
100 N Nine Mound Rd
Verona, WI 53593-1032
Phone
(608) 845-9531
Fax
(608) 845-5954
NPI assigned
Jun 6, 2008
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60918 WI Primary

Addresses

Primary practice location

100 N Nine Mound Rd
Verona, WI 53593-1032

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other names 1

  • Magnolia Jean Winsor Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlarson683556@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000136 WI Practitioner - Family Practice 2961576194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone (608) 287-2770

1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779

137 S Main St
Oregon, WI 53575-1534
Phone (608) 835-5588

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

500 Midland CT
Janesville, WI 53546-2341
Phone (608) 916-2600

5543 E Cheryl Pkwy
Fitchburg, WI 53711-5376
Phone (608) 274-5300

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

600 N 8TH St
Mount Horeb, WI 53572-1870
Phone (608) 287-2770

707 S Mills St
Madison, WI 53715-1849
Phone (608) 251-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 1, 2013 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 1, 2013 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients
Mille Lacs Health System PastSince Apr 30, 2003 Accepting new patients

Locations

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

100 N Nine Mound Rd
Verona, WI 53593
Phone (608) 845-9531

Interoperability endpoints

  • Direct secure messaging: mlarson264556@direct.unitypoint.org
  • Direct secure messaging: mlarson683556@direct.uwhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1841459658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N NINE MOUND RD",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931032",
            "telephone_number": "608-845-9531",
            "fax_number": "608-845-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MAGNOLIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "60918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlarson683556@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "100 N Nine Mound Rd",
            "city": "Verona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535931032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAGNOLIA",
            "last_name": "WINSOR",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Verona, WI

Sources for this page

Verify at the official NPI Registry.