Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Larson

Individual provider Family Nurse Practitioner · NPI 1538832944

Amanda Larson is a Nurse Practitioner in Mooresville, Indiana. Qualified in 2021, 5 years ago. Practices with Proactive Clinical Partners - ACO, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
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Practice location Address checks out

302 N Johnson Rd
Mooresville, IN 46158-5504
Phone: (317) 941-7338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71011379A (IN)

Record details

NPI number1538832944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2021
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address8455 Keystone Crossing Suite 300, Indianapolis, IN 46240

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Proactive Clinical Partners - Aco — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mooresville