Mistee Laro Formica, CNM - Medicare Certified Nurse Midwife (cnm) in Mooresville, NC

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Mistee Laro Formica, CNM is a medicare enrolled "Advanced Practice Midwife" in Mooresville, North Carolina. She graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Florida Hospital Medical Group Inc and her current practice location is 106 Langtree Village Dr Ste 200, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-4830.

Mistee Laro Formica is licensed to practice in North Carolina (license number 431) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528228996.

Contact Information

Mistee Laro Formica, CNM
106 Langtree Village Dr Ste 200,
Mooresville, NC 28117-7594
(704) 316-4830
(704) 316-4831

Map and Direction




Provider's Profile

Full NameMistee Laro Formica
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience18 Years
Location106 Langtree Village Dr Ste 200, Mooresville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mistee Laro Formica graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1528228996
  • Provider Enumeration Date: 06/10/2008
  • Last Update Date: 01/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8224281647
  • Enrollment ID: I20230822000311

Medical Identifiers

Medical identifiers for Mistee Laro Formica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528228996NPI-NPPES
7002155MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 431 (North Carolina)Primary
367A00000XAdvanced Practice Midwife APRN11026120 (Florida)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Hospital Medical Group Inc07491861531237

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mistee Laro Formica allows following entities to bill medicare on her behalf.
Entity NameFlorida Hospital Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mistee Laro Formica is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mistee Laro Formica, CNM
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -		Mistee Laro Formica, CNM
106 Langtree Village Dr Ste 200,
Mooresville, NC 28117-7594

Ph: (704) 316-4830

Reviews and Comments


Advanced Practice Midwife Nurses in Mooresville, NC

Amy Marie Allred, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 106 Langtree Village Dr, Ste 200, Mooresville, NC 28117
Phone: 704-316-4830    Fax: 704-316-4831
Lynn Ann Chiappelli, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 170 Medical Park Rd, Mooresville, NC 28117
Phone: 704-801-7370    
Amy Majors Winstead, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 106 Langtree Village Dr, Ste 200, Mooresville, NC 28117
Phone: 704-316-5570    Fax: 704-316-5571

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.