LEA LATHAM CRNP
NPI 1235481458
Nurse Practitioner - Adult Health in Flagstaff, AZ

Q: What is Lea Latham's NPI number?

The NPI number for Lea Latham is 1235481458. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Q: What is Lea 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 Lea Latham was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 11, 2012PECOS EnrolledAccepts Medicare Assignment

1215 N BEAVER ST STE 203, FLAGSTAFF, AZ 86001(928) 773-2200 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Nov 11, 2024, Jul 14, 2023 and 2 more (5 updates tracked since 2018).

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About Lea Latham Crnp NPPES

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

LEA LATHAM CRNP (NPI 1235481458) is an individual adult health provider in Flagstaff, Arizona, licensed in Arizona (AP4386) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235481458

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLEA LATHAMCredential: CRNP

Location Address1215 N BEAVER ST STE 203Flagstaff, AZ 86001-3120

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(928) 773-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 11, 2012

Last NPPES UpdateJuly 2, 20255 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1235481458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LA2200X

License✔ Licensed in AZ · AP4386

1215 N BEAVER ST STE 203, Flagstaff, AZ 86001

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Secondary Practice Location 1

Location 1500 W Thomas Rd Ste 900APhoenix, AZ 85013-4223 · Phone (602) 406-3540 · Fax (602) 406-7186

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.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

Lea Latham Crnp 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 ID8426306333

PECOS Enrollment IDI20221104001618

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 Lea Latham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Arizona Healthcare Corporation

Same address

Family Medicine

1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001

Reassigned Medicare billing, Arizona enrollment
552 clinicians in this Medicare group

NPI 1669914552 (928) 773-2546

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

42 mi

Public Health or Welfare

2400 W DATSI ST
Camp Verde, AZ 86322

Reassigned Medicare billing, Texas enrollment
599 clinicians in this Medicare group

NPI 1205859618 (928) 567-2168

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

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.

28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 6

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

NORTHERN ARIZONA HEALTHCARE CORPORATION

Internal Medicine