INGRID L. NISSWANDT-LARSEN MD – NPI #1548351406
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

INGRID NISSWANDT-LARSEN is a physician located in DULUTH, MN. NPPES has assigned the NPI number 1548351406 to INGRID NISSWANDT-LARSEN on September 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Oct 11, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INGRID NISSWANDT-LARSEN below.

NPI Profile for
INGRID L. NISSWANDT-LARSEN

NPI Number
1548351406
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
INGRID L. NISSWANDT-LARSEN
Credentials
MD
Primary location
4621 E SUPERIOR ST
DULUTH, MN 55804-2338
Phone: (218) 786-3550 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for INGRID NISSWANDT-LARSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN922593500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MN 32323

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
INGRID NISSWANDT-LARSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • ESSENTIA HEALTH DULUTH
      502 EAST SECOND STREET
      DULUTH, MN 55805
    • ESSENTIA HEALTH ST MARY'S MEDICAL CENTER
      407 EAST THIRD STREET
      DULUTH, MN 55805
    • ST MARYS HOSPITAL SUPERIOR
      3500 TOWER AVE
      SUPERIOR, WI 54880
  • HOME HEALTH AGENCY
    • ECUMEN HOME CARE - LAKESHORE
      4000 LONDON ROAD
      DULUTH, MN 55804
  • NURSING HOME
    • BAYSHORE RESIDENCE & REHAB CTR
      1601 ST LOUIS AVENUE
      DULUTH, MN 55802
    • BENEDICTINE HEALTH CENTER
      935 KENWOOD AVENUE
      DULUTH, MN 55811
  • HOSPICE
    • ESSENTIA HEALTH ST MARYS HOSPICE & PALLIATIVE CARE
      407 EAST 4TH STREET
      DULUTH, MN 55805
    • KINDRED HOSPICE
      404 WEST SUPERIOR ST STE 290
      DULUTH, MN 55802

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