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

Stacia Gilde Marie Larson, MD

Individual provider Family Medicine Physician · NPI 1790871093

Stacia Gilde Marie Larson, MD is a Family Practice in Hastings, Michigan. Graduated from Michigan State University College of Human Medicine in 2002, 24 years ago. Practices with Cherry Street Services Inc, a 58-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 S Boltwood St
Hastings, MI 49058-1926
Phone: (269) 945-4220
Fax: (269) 945-4229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1033 Healthcare Dr, Charlotte, MI 48813-1058 — (517) 541-0992
  • 751 Lafayette Ave Ne, Grand Rapids, MI 49503-1628 — (616) 742-9945

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301087952 (MI)

Record details

NPI number1790871093
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2002 (24 years in practice)
Group practice Cherry Street Services Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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