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SAMANTHA JO LARSON
NPI 1528889193
Case Manager/Care Coordinator in Menominee, MI

Active since October 17, 2024
1110 10TH AVE, MENOMINEE, MI 49858(906) 290-5000(906) 863-2408 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Jo Larson NPPES

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

SAMANTHA JO LARSON (NPI 1528889193) is an individual case manager/care coordinator provider in Menominee, Michigan and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1528889193
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSAMANTHA JO LARSON
Location Address1110 10TH AVEMenominee, MI 49858-3058
Mailing Address1110 10th AveMenominee, MI 49858-3058 · (906) 290-5000 · Fax (906) 863-2408
Phone(906) 290-5000
Fax(906) 863-2408
Sole ProprietorNo
Enumeration DateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1528889193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1110 10TH AVE, Menominee, MI 49858
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Other Names 1

Former Name (1)Samantha Jo Anderson

Other Providers at the Same Location NPPES 9

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

MS. KAY SUSAN BARANCZYK APNP
Nurse Practitioner (Family)
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
CASSANDRA EMMER
Community Health Worker
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
IRON MOUNTAIN VAMC
Clinic/Center (VA)
1110 10TH AVE, SUITE 101
MENOMINEE, MI 49858
Menominee County (608) 821-7200
DEBRA J HILLING NP
Nurse Practitioner (Family)
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
RAY S KOIVUNEN MD
Family Medicine
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
DIANA J HARDY P.A.
Physician Assistant (Medical)
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
CRYSTALEE CHRISTINE CALEY
Peer Specialist
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 483-1065
UPPER GREAT LAKES FAMILY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000

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 Samantha Larson's NPI number?

The NPI number for Samantha Larson is 1528889193. It was assigned to this individual provider in the NPPES registry on October 17, 2024. The provider is also known as Samantha Jo Anderson.

Where is Samantha Larson located?

Samantha Larson practices at 1110 10th Ave, Menominee, MI 49858. The listed phone number is (906) 290-5000.

What is Samantha Larson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Samantha Larson was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.