STACIA GILDE MARIE LARSON M.D.
NPI 1790871093
Family Medicine in Hastings, MI

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
200 S BOLTWOOD ST, HASTINGS, MI 49058(269) 945-4220(269) 945-4229 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2025, Oct 25, 2019 (2 updates tracked since 2019).

About Stacia Gilde Marie Larson M.d. NPPES

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

STACIA GILDE MARIE LARSON M.D. (NPI 1790871093) is an individual family medicine provider in Hastings, Michigan, licensed in Michigan (4301087952) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Sparrow Eaton Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790871093
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACIA GILDE MARIE LARSONCredential: M.D.
Location Address200 S BOLTWOOD STHastings, MI 49058-1926
Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4526 · (616) 965-8200 · Fax (616) 742-9967
Fax(269) 945-4229
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2002
Enumeration DateOctober 5, 2006
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1790871093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301087952
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 S BOLTWOOD ST, Hastings, MI 49058

Secondary Practice Locations 2

Location 1751 Lafayette Ave NEGrand Rapids, MI 49503-1628 · Phone (616) 742-9945 · Fax (616) 742-9967
Location 21033 Healthcare DrCharlotte, MI 48813-1058 · Phone (517) 541-0992 · Fax (616) 940-5366

Other Identifiers 1

Medicaid4915234MI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacia Gilde Marie Larson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183621089
PECOS Enrollment IDI20061108000154
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
68 services23 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
48 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231327
Location321 E Harris StreetCharlotte, MI 48813 · Eaton County
Emergency services

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49058 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims40 services$5.68 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$72.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
200 S BOLTWOOD ST
HASTINGS, MI 49058
Clinic/Center (Federally Qualified Health Center (FQHC))
200 S BOLTWOOD ST
HASTINGS, MI 49058
Physician Assistant
200 S BOLTWOOD ST
HASTINGS, MI 49058

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 Stacia Larson's NPI number?

The NPI number for Stacia Larson is 1790871093. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Stacia Larson located?

Stacia Larson practices at 200 S Boltwood St, Hastings, MI 49058. The listed phone number is (269) 945-4220.

What is Stacia Larson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stacia Larson enrolled in Medicare?

Yes. Stacia Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacia Larson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Stacia Larson 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.

Is Stacia Larson affiliated with any hospitals?

According to CMS data, Stacia Larson is affiliated with Sparrow Eaton Hospital and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Stacia Larson was last updated on December 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.