MS. LATISHA ARDELIA JONES
NPI 1164694857
Nurse Practitioner - Pediatrics in New York, NY
About Ms. Latisha Ardelia Jones NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LATISHA ARDELIA JONES (NPI 1164694857) is an individual pediatrics provider in New York, New York, licensed in New York (381963) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Latisha Ardelia Jones is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Latisha Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 220 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 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10065
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 Latisha Jones's NPI number?
The NPI number for Latisha Jones is 1164694857. It was assigned to this individual provider in the NPPES registry on April 2, 2008.
Where is Latisha Jones located?
Latisha Jones practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-5948.
What is Latisha Jones's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Latisha Jones enrolled in Medicare?
Yes. Latisha Jones is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Latisha Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latisha Jones reassigns Medicare benefits to Memorial Pediatric Group (New York, NY). 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 Latisha Jones'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 Latisha Jones was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ms. Latisha Ardelia Jones · NPI 1164694857
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 2, 2008.
## Identity
- **NPI:** 1164694857 (Entity type: Individual)
- **Enumerated:** April 2, 2008
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 381963 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-5948
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorial Pediatric Group (NPI 1750352381, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 2, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1164694857) · Data from the CMS NPPES public registry.