MR. DALTON ENRICO LATHAM NP- NURSE PRACTITION
NPI 1194291179
Nurse Practitioner - Adult Health in Berrien Springs, MI

Q: What is Dalton Latham's NPI number?

The NPI number for Dalton Latham is 1194291179. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Q: What is Dalton Latham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Dalton Latham was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 17, 2018PECOS EnrolledAccepts Medicare Assignment

8521 KEPHART LANE, BERRIEN SPRINGS, MI 49103(269) 277-3260 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Dalton Enrico Latham Np- Nurse Practition NPPES

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

MR. DALTON ENRICO LATHAM NP- NURSE PRACTITION (NPI 1194291179) is an individual adult health provider in Berrien Springs, Michigan, licensed in Michigan (4704211443) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Gordon Memorial Hospital District, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1194291179

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. DALTON ENRICO LATHAMCredential: NP- NURSE PRACTITION

Location Address8521 KEPHART LANEBerrien Springs, MI 49103

Mailing Address8521 Kephart LaneBerrien Springs, MI 49103 · (269) 277-3260

Phone(269) 277-3260

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 17, 2018

✔ NPI 1194291179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704211443

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704211443 (MI)

8521 KEPHART LANE, Berrien Springs, MI 49103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Dalton Enrico Latham Np- Nurse Practition 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 ID5991037061

PECOS Enrollment IDI20191023002325

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.

Areas of Expertise CMS Part B claims 3

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.

214 services158 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.

189 services152 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Gordon Memorial Hospital District

Critical Access Hospitals · Gordon, NE

OwnershipGovernment - Hospital District or Authority

CMS Certification Number281358

Location300 East 8th StGordon, NE 69343 · Sheridan County

Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD

OwnershipGovernment - Federal

CMS Certification Number430098

LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49103 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $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.

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 Dalton Latham's NPI number?

The NPI number for Dalton Latham is 1194291179. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Dalton Latham located?

Dalton Latham practices at 8521 Kephart Lane, Berrien Springs, MI 49103. The listed phone number is (269) 277-3260.

What is Dalton Latham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dalton Latham enrolled in Medicare?

Yes. Dalton Latham 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.

Is Dalton Latham affiliated with any hospitals?

According to CMS data, Dalton Latham is affiliated with Gordon Memorial Hospital District, Monument Health Rapid City Hospital and Pine Ridge Ihs Hospital.

When was this NPI record last updated?

The NPPES record for Dalton Latham was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.