MRS. LATONYA CHARMENE PRIM CRNP
NPI 1124475462
Nurse Practitioner - Gerontology in Pensacola, FL

Active since May 17, 2016PECOS Enrolled
5041 N 12TH AVE, PENSACOLA, FL 32504(850) 202-5814(850) 202-0600 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Latonya Charmene Prim Crnp NPPES

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

MRS. LATONYA CHARMENE PRIM CRNP (NPI 1124475462) is an individual gerontology provider in Pensacola, Florida, licensed in Alabama (1-091626) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124475462
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. LATONYA CHARMENE PRIMCredential: CRNP
Location Address5041 N 12TH AVEPensacola, FL 32504-8916
Mailing Address5041 N 12th AvePensacola, FL 32504-8916 · (850) 202-5814 · Fax (850) 202-0600
Fax(850) 202-0600
Sole ProprietorYes
Enumeration DateMay 17, 2016
✔ NPI 1124475462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AL · 1-091626
5041 N 12TH AVE, Pensacola, FL 32504

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Latonya Charmene Prim Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Latonya Prim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama enrollment
  • 456 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner
5041 N 12TH AVE
PENSACOLA, FL 32504
Nurse Practitioner
5041 N 12TH AVE
PENSACOLA, FL 32504
Nurse Practitioner
5041 N 12TH AVE
PENSACOLA, FL 32504
Public Health or Welfare
5041 N 12TH AVE
PENSACOLA, FL 32504
Nurse Practitioner (Family)
5041 N 12TH AVE
PENSACOLA, FL 32504
Nurse Practitioner (Family)
5041 N 12TH AVE
PENSACOLA, FL 32504
Pediatrics
5041 N 12TH AVE
PENSACOLA, FL 32504
Nurse Practitioner (Family)
5041 N 12TH AVE
PENSACOLA, FL 32504

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 Latonya Prim's NPI number?

The NPI number for Latonya Prim is 1124475462. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Latonya Prim located?

Latonya Prim practices at 5041 N 12th Ave, Pensacola, FL 32504. The listed phone number is (850) 202-5814.

What is Latonya Prim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Latonya Prim enrolled in Medicare?

Yes. Latonya Prim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Latonya Prim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latonya Prim reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The 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 Latonya Prim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Latonya Prim was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.