Individual provider Active NPI

Kristen Leigh Larter, APNP

  • Women's Health Nurse Practitioner
  • Postville, IA
National Provider Identifier
1962873190
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F120158 Issued in IA
Practice address
111 S Reynolds St
Postville, IA 52162-7737
Phone
(319) 864-7512
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 120158 IA
Women's Health Nurse Practitioner 363LW0102X F120158 IA Primary

Addresses

Primary practice location

111 S Reynolds St
Postville, IA 52162-7737

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20151022000406 IA Practitioner - Nurse Practitioner 2264741867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians

Practice addresses (Care Compare)

1600 1St St E
Buchanan County Health Center
Independence, IA 50644-3155
Phone (319) 332-0999

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913

233 Vold Dr
Waterloo, IA 50703-1256
Phone 31923550900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120158IAMDRegistered Nurse
F120158IAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Dec 31, 2016 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Nov 26, 2019 Accepting new patients
Allen Memorial Hospital Corporation Women'S Health CurrentSince Nov 26, 2019 Accepting new patients
Gundersen Clinic LTD CurrentSince Oct 26, 2015 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Oct 26, 2015 Accepting new patients

Locations

233 Vold Dr
Waterloo, IA 50703
Phone (319) 235-5090

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

110 Jefferson St
West Union, IA 52175
Phone (319) 422-3817

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

Interoperability endpoints

  • Direct secure messaging: klarter136820@direct.emplifyhealth.org
  • Direct secure messaging: klarter699145@direct.unitypoint.org

Organizations & group practices 6

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1962873190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S REYNOLDS ST",
            "city": "POSTVILLE",
            "state": "IA",
            "postal_code": "521627737",
            "telephone_number": "319-864-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARTER",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "120158",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F120158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Postville, IA

Sources for this page

Verify at the official NPI Registry.