STACIA GILDE MARIE LARSON M.D.
NPI 1790871093
Family Medicine in Hastings, MI
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Stacia Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hastings, MI 49058
- Reassigned Medicare billing, Michigan enrollment
- 115 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MICorewell Health Pennock Hospital
Critical Access Hospitals · Hastings, MIPhysician 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.
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.
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.
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.
Which organization bills Medicare for Stacia Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacia Larson reassigns Medicare benefits to Cherry Street Services Inc (Hastings, MI). The 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 Stacia Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Stacia Gilde Marie Larson, M.D. · NPI 1790871093
Family Medicine physician in Hastings, Michigan. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1790871093 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301087952 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 S BOLTWOOD ST, Hastings, MI 49058-1926
- **Phone:** (269) 945-4220 · **Fax:** (269) 945-4229
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cherry Street Services Inc (NPI 1265862841, Hastings, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 2002
## Record status
- **NPPES last updated:** December 19, 2025
- **Other identifiers:** Medicaid 4915234 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1790871093) · Data from the CMS NPPES public registry.