Mistee Laro Formica, CNM - Medicare Advanced Practice Midwife in Mooresville, NC

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Mistee Laro Formica, CNM is a medicare enrolled "Advanced Practice Midwife" in Mooresville, North Carolina. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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
SpecialityAdvanced Practice Midwife
Location106 Langtree Village Dr Ste 200, Mooresville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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: I20130116000182

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

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 NameNovant Health Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameNovant Health Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306950282
PECOS PAC ID: 1153234893
Enrollment ID: O20040204001028
Entity NameVidant Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445

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: Not Available		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: May Accept Medicare Assignments
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.