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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since June 10, 2008PECOS Enrolled
78.01/100
CMS Quality Rating
106 LANGTREE VILLAGE DR STE 200, MOORESVILLE, NC 28117(704) 316-7080(704) 316-7081 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Jan 19, 2026, Aug 24, 2023 (3 updates tracked since 2023).

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 and maintains a secondary practice location in Orlando.

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) 316-7080
Fax(704) 316-7081
Sole ProprietorNo
Enumeration DateJune 10, 2008
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 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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Secondary Practice Location 1

Location 1235 E Princeton St Ste 200Orlando, FL 32804-5555 · Phone (407) 303-1444 · Fax (407) 303-1446

Other Identifiers 1

Medicaid7002155NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mistee Formica reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Obstetrics & Gynecology
106 LANGTREE VILLAGE DR STE 200
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1710143755 (North Carolina)
  • 561 clinicians in this Medicare group
NPI 1053878868 (704) 316-7080
Vidant Medical Group LLC
186 mi
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1376049619 (252) 559-2200
Florida Hospital Medical Group Inc
482 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

NOVANT HEALTH MEDICAL GROUP, LLC
Obstetrics & Gynecology
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Iredell County (704) 316-7080
NATASHA NICOLE JONES CNM
Advanced Practice Midwife
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Iredell County (704) 316-4830
BRENT DOUGLAS PENHALL DO
Family Medicine
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Iredell County (704) 384-7101
DEBORAH PARRY WARREN MD
Obstetrics & Gynecology
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Iredell County (704) 316-4830
DR. HILLARY ANN ROBINOWITZ-ELINS M.D.
Obstetrics & Gynecology
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Iredell County (704) 316-4830
DR. VICTORIA ANN KLINE KING MD
Family Medicine
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Iredell County (704) 384-7101
COLLIN WRIGHT PA
Physician Assistant
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Iredell County (704) 384-7101
DR. THOMAS EDWARD JENIKE M.D.
Family Medicine
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Iredell County (704) 384-7101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Mistee Formica located?

Mistee Formica practices at 106 Langtree Village Dr Ste 200, Mooresville, NC 28117. The listed phone number is (704) 316-7080.

What is Mistee Formica's specialty?

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

Is Mistee Formica enrolled in Medicare?

Yes. Mistee Formica is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mistee Formica's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mistee Formica reassigns Medicare benefits to 3 organizations: Novant Health Medical Group, LLC (Mooresville, NC), Vidant Medical Group LLC (Kinston, NC) and Florida Hospital Medical Group Inc (Orlando, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mistee Formica's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mistee Formica accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Mistee Formica as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mistee Formica was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.