NICOLE LATGIS PA-C
NPI 1194398800
Physician Assistant - Surgical in Murray, UT

Active since July 20, 2021PECOS EnrolledAccepts Medicare Assignment
5121 S COTTONWOOD ST, MURRAY, UT 84107(801) 507-3462 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2026, Nov 13, 2025, Jul 20, 2021 (3 updates tracked since 2021).

About Nicole Latgis Pa-c NPPES

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

NICOLE LATGIS PA-C (NPI 1194398800) is an individual surgical provider in Murray, Utah, licensed in New Jersey (25MP00641600) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194398800
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE LATGISCredential: PA-C
Location Address5121 S COTTONWOOD STMurray, UT 84107-5701
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 20, 2021
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
NPI 1194398800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NJ · 25MP00641600
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00641600 (NJ), 13698599-1206 (UT)
5121 S COTTONWOOD ST, Murray, UT 84107

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

Nicole Latgis Pa-c 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 ID4587033048
PECOS Enrollment IDI20221206001743
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.

Hospital Affiliations CMS Care Compare

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

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.

Pediatrics (Neonatal-Perinatal Medicine)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Hospitalist
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Physical Therapist
5121 S COTTONWOOD ST
MURRAY, UT 84107
Student in an Organized Health Care Education/Training Program
5121 S COTTONWOOD ST
MURRAY, UT 84107
Internal Medicine (Clinical Cardiac Electrophysiology)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Physician Assistant
5121 S COTTONWOOD ST
MURRAY, UT 84107
Internal Medicine
5121 S COTTONWOOD ST
MURRAY, UT 84107
Nurse Practitioner
5121 S COTTONWOOD ST
MURRAY, UT 84107

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 Nicole Latgis's NPI number?

The NPI number for Nicole Latgis is 1194398800. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Nicole Latgis located?

Nicole Latgis practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-3462.

What is Nicole Latgis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Latgis enrolled in Medicare?

Yes. Nicole Latgis 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 Nicole Latgis affiliated with any hospitals?

According to CMS data, Nicole Latgis is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Latgis was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.