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

Q: 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.

Q: What is Latonya Prim's specialty?

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

Q: 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.

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: August 09, 2026.

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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

Phone(850) 202-5814

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

LAURA JANE DERBY ARNP

Nurse Practitioner