Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LATAYA DE JESUS NP
NPI 1154071264
Nurse Practitioner - Family in Beachwood, OH

Q: What is Lataya De Jesus's NPI number?

The NPI number for Lataya De Jesus is 1154071264. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Q: What is Lataya De Jesus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lataya De Jesus was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 March 24, 2022PECOS Enrolled

3700 PARK EAST DR STE 450, BEACHWOOD, OH 44122(866) 849-0692 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2026, Mar 18, 2026, Feb 2, 2026 and 6 more (9 updates tracked since 2022).

On this page

About Lataya De Jesus Np NPPES

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

LATAYA DE JESUS NP (NPI 1154071264) is an individual family provider in Beachwood, Ohio, licensed in Ohio (APRN.CNP.0031356) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains a secondary practice location in Belpre.

NPPES Registry Identity

NPI1154071264

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLATAYA DE JESUSCredential: NP

Location Address3700 PARK EAST DR STE 450Beachwood, OH 44122-4318

Mailing AddressPo Box 211699Eagan, MN 55121-3699

Phone(866) 849-0692

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 24, 2022

Last NPPES UpdateOctober 22, 20269 updates tracked since enumeration

NPPES CertifiedOctober 22, 2026

✔ NPI 1154071264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OH · APRN.CNP.0031356✔ Licensed in FL · APRN11051706✔ Licensed in KY · 4044149✔ Licensed in WV · 113014✔ Licensed in NC · 5024121✔ Licensed in OR · 10061260✔ Licensed in TX · 1214857✔ Licensed in AZ · 327525

Also ListedPrevention ProfessionalTaxonomy 405300000X · License 0000837 (OH)

3700 PARK EAST DR STE 450, Beachwood, OH 44122

Open in Google Maps ↗

Secondary Practice Location 1

Location 1807 Farson St Ste 203ABelpre, OH 45714-1069 · Phone (740) 568-5687 · Fax (740) 376-6118

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, CareSource (Common Ground Healthcare).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

Lataya De Jesus Np 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 ID5294103024

PECOS Enrollment IDI20230911002228

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

Medicare enrollment records show Lataya De Jesus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Devoted Medical Group Inc

Same address

Primary Care

3700 PARK EAST DR STE 450
Beachwood, OH 44122

Reassigned Medicare billing, Ohio enrollment
35 clinicians in this Medicare group

NPI 1609474527 (617) 958-1611

Signify Health, LLC

1,029 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Ohio enrollment
672 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Signify Health Medical Associates, PLLC

1,029 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, West Virginia enrollment
228 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 2

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 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.

18 services18 patients

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.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361319

Location1106 Colegate DriveMarietta, OH 45750 · Washington County

Emergency services

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510058

Location800 Garfield AveParkersburg, WV 26101 · Wood County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

MRS. RACHEL ELIZABETH STARR FNP-C

Nurse Practitioner (Family)