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

Stacey Inez Larson, APNP

Individual provider Family Nurse Practitioner · NPI 1427629492

Stacey Inez Larson, APNP is a Nurse Practitioner in Boscobel, Wisconsin. Qualified in 2020, 6 years ago. Practices with Memorial Hospital of Boscobel, a 33-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2021

Practice location Address checks out

205 Parker St
Boscobel, WI 53805-1642
Phone: (608) 375-4112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10996 (WI)

Record details

NPI number1427629492
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021
Mailing address205 Parker St, Boscobel, WI 53805-1642

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Memorial Hospital Of Boscobel — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boscobel