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LATOYA WEATHERSBY FNP
NPI 1033459912
Nurse Practitioner - Family in Houston, TX

Active since February 28, 2013PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
4500 WASHINGTON AVE STE 100, HOUSTON, TX 77007(713) 730-7416 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Latoya Weathersby Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATOYA WEATHERSBY FNP (NPI 1033459912) is an individual family provider in Houston, Texas, licensed in Texas (1146968) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1033459912
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLATOYA WEATHERSBYCredential: FNP
Location Address4500 WASHINGTON AVE STE 100Houston, TX 77007-5477
Mailing Address4500 Washington Ave Ste 100Houston, TX 77007-5477
Phone(713) 730-7416
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 28, 2013
Last NPPES UpdateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1033459912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · 1146968✔ Licensed in NY · 337822
4500 WASHINGTON AVE STE 100, Houston, TX 77007
Open in Google Maps ↗

Other Identifiers 1

Medicaid03624191NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Latoya Weathersby Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648405449
PECOS Enrollment IDI20241120002859
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Latoya Weathersby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Hermann Urgent Care PLLC
19 mi
Family Medicine
1227 MUSEUM SQUARE DR STE A
Sugar Land, TX 77479
  • Reassigned Medicare billing, Texas enrollment
  • 160 clinicians in this Medicare group
NPI 1730821208 (281) 265-4630
Proxi Medical PC
1,421 mi
Urgent Care
1665 BEDFORD AVE
Brooklyn, NY 11225
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1184000853 (718) 756-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services78 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
34 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services33 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
31 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PAULA FONTENOT LAHAYE MSN, WHNP, FNP, ENP
Nurse Practitioner (Family)
4500 WASHINGTON AVE STE 100
HOUSTON, TX 77007
Harris County (713) 861-6490
ROYCE ANTHONY DUNLAP FNP-C
Nurse Practitioner (Family)
4500 WASHINGTON AVE STE 100
HOUSTON, TX 77007
Harris County (713) 861-6490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latoya Weathersby's NPI number?

The NPI number for Latoya Weathersby is 1033459912. It was assigned to this individual provider in the NPPES registry on February 28, 2013.

Where is Latoya Weathersby located?

Latoya Weathersby practices at 4500 Washington Ave Ste 100, Houston, TX 77007. The listed phone number is (713) 730-7416.

What is Latoya Weathersby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Latoya Weathersby enrolled in Medicare?

Yes. Latoya Weathersby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Latoya Weathersby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latoya Weathersby reassigns Medicare benefits to 2 organizations: Memorial Hermann Urgent Care PLLC (Sugar Land, TX) and Proxi Medical PC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latoya Weathersby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latoya Weathersby accept?

Health plans from Oscar Insurance Company list Latoya Weathersby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latoya Weathersby was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.