LATASHA SHANNON BUTLER PA
NPI 1205207362
Physician Assistant - Medical in Hampton, VA

Active since October 15, 2015PECOS EnrolledAccepts Medicare Assignment
62.13/100
CMS Quality Rating
2304 W MERCURY BLVD, HAMPTON, VA 23666(757) 951-1579 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2021, Mar 27, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Latasha Shannon Butler Pa NPPES

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

LATASHA SHANNON BUTLER PA (NPI 1205207362) is an individual medical provider in Hampton, Virginia, licensed in Virginia (0110005040) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Suffolk, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205207362
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLATASHA SHANNON BUTLERCredential: PA
Location Address2304 W MERCURY BLVDHampton, VA 23666-3115
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 15, 2015
Last NPPES UpdateFebruary 15, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
NPI 1205207362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in VA · 0110005040
2304 W MERCURY BLVD, Hampton, VA 23666

Secondary Practice Location 1

Location 13920 Bridge Rd # ASuffolk, VA 23435-1117 · Phone (757) 983-2245

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

Latasha Shannon Butler Pa 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 ID5698076396
PECOS Enrollment IDI20151222002873
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 16

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.
105 services105 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.
74 services71 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
47 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
44 services42 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
41 services41 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
24 services24 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

62.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability0
Improvement Activities40
Cost84.66

Other Providers at the Same Location NPPES 16

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

Family Medicine
2304 W MERCURY BLVD
HAMPTON, VA 23666
Physician Assistant (Medical)
2304 W MERCURY BLVD
HAMPTON, VA 23666
Clinic/Center (Urgent Care)
2304 W MERCURY BLVD
HAMPTON, VA 23666
Physician Assistant
2304 W MERCURY BLVD
HAMPTON, VA 23666
Physician Assistant
2304 W MERCURY BLVD
HAMPTON, VA 23666
Family Medicine
2304 W MERCURY BLVD
HAMPTON, VA 23666
Nurse Practitioner (Family)
2304 W MERCURY BLVD
HAMPTON, VA 23666
Physician Assistant
2304 W MERCURY BLVD
HAMPTON, VA 23666

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 Latasha Butler's NPI number?

The NPI number for Latasha Butler is 1205207362. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Where is Latasha Butler located?

Latasha Butler practices at 2304 W Mercury Blvd, Hampton, VA 23666. The listed phone number is (757) 951-1579.

What is Latasha Butler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Latasha Butler enrolled in Medicare?

Yes. Latasha Butler 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.

When was this NPI record last updated?

The NPPES record for Latasha Butler was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.