MISTEE LARO FORMICA CNM
NPI 1528228996
Advanced Practice Midwife in Mooresville, NC

Q: What is Mistee Formica's NPI number?

The NPI number for Mistee Formica is 1528228996. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Q: What is Mistee Formica's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mistee Formica was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2008PECOS Enrolled

78.01/100

CMS Quality Rating

106 LANGTREE VILLAGE DR STE 200, MOORESVILLE, NC 28117(704) 316-4830(704) 316-4831 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2026, Aug 24, 2023 (2 updates tracked since 2023).

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About Mistee Laro Formica Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISTEE LARO FORMICA CNM (NPI 1528228996) is an individual advanced practice midwife in Mooresville, North Carolina, licensed in North Carolina (431) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528228996

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMISTEE LARO FORMICACredential: CNM

Location Address106 LANGTREE VILLAGE DR STE 200Mooresville, NC 28117-7594

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-4830

Fax(704) 316-4831

Sole ProprietorNo

Enumeration DateJune 10, 2008

Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2026

✔ NPI 1528228996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Licenses✔ Licensed in NC · 431✔ Licensed in FL · APRN11026120

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

106 LANGTREE VILLAGE DR STE 200, Mooresville, NC 28117

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Other Identifiers 1

Medicaid7002155NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mistee Laro Formica Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

57.51

Promoting Interoperability

100

Improvement Activities

Cost

69.18

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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