NPIMap

Individual provider Active NPI

Andrea Lois Larson, ARNP

  • Family Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1861948010
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A128100 Issued in IA
Practice address
800 Kenyon Rd
Fort Dodge, IA 50501-5776
Phone
(515) 574-6840
Fax
(515) 576-7726
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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 A128100 IA Primary

Addresses

Primary practice location

800 Kenyon Rd
Fort Dodge, IA 50501-5776

Mailing address

PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 574-6840

Other identifiers 1

IdentifierTypeStateIssuer
A128100OtherIASTATE IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20161206001107 IA Practitioner - Nurse Practitioner 2668752809 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stewart Memorial Community HospitalGroup PAC ID 4486563707, shared by 6 NPIs, 36 clinicians

Practice addresses (Care Compare)

1301 W Main St
Lake City, IA 51449-1585
Phone (712) 464-3171

1816 Philadelphia St
Ames, IA 50010-8771
Phone (515) 232-2500

405 S Clark St
Suite 205
Carroll, IA 51401-3047
Phone (712) 792-6500

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 574-6332

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Public Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Apr 7, 2025 Accepting new patients
Hamilton County Public Hospital CurrentSince Jan 1, 2025 Accepting new patients
Stewart Memorial Community Hospital Current Accepting new patients
Stewart Memorial Community Hospital CurrentSince Jul 1, 2025 Accepting new patients
Hamilton County Public Hospital CurrentSince Jan 1, 2025 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Nov 17, 2016 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Stewart Memorial Community Hospital CurrentSince Aug 21, 2024 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Nov 17, 2016 Accepting new patients
Stewart Memorial Community Hospital CurrentSince Aug 21, 2024 Accepting new patients
Iowa Heart Center PC Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

405 S Clark St
Ste 205
Carroll, IA 51401
Phone (712) 792-6500

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

800 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6800

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

Interoperability endpoints

  • Direct secure messaging: alarson4179@direct.unitypoint.org
  • Direct secure messaging: alarson3950082@direct.trinity-health.org
  • Direct secure messaging: andrea.larson.p1@direct.iowaheart.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 9

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1861948010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503069170",
            "telephone_number": "515-574-6840",
            "fax_number": "515-576-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015776",
            "telephone_number": "515-574-6840",
            "fax_number": "515-576-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ANDREA",
        "middle_name": "LOIS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A128100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE IDENTIFICATION NUMBER",
            "identifier": "A128100",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.