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LATISHA RENEE PETTY
NPI 1245199280
Nurse Practitioner - Primary Care in Petersburg, VA

Active since January 16, 2026PECOS Enrolled
1429 HALIFAX ST, PETERSBURG, VA 23803(540) 748-6048 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Latisha Renee Petty NPPES

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

LATISHA RENEE PETTY (NPI 1245199280) is an individual primary care provider in Petersburg, Virginia, licensed in Virginia (0024195858) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245199280
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLATISHA RENEE PETTY
Location Address1429 HALIFAX STPetersburg, VA 23803-5933
Mailing Address1429 Halifax StPetersburg, VA 23803-5933
Phone(540) 748-6048
Sole ProprietorYes
Enumeration DateJanuary 16, 2026
NPPES CertifiedJanuary 16, 2026
✔ NPI 1245199280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in VA · 0024195858
1429 HALIFAX ST, Petersburg, VA 23803
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latisha Renee Petty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23803 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 Latisha Petty's NPI number?

The NPI number for Latisha Petty is 1245199280. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Where is Latisha Petty located?

Latisha Petty practices at 1429 Halifax St, Petersburg, VA 23803. The listed phone number is (540) 748-6048.

What is Latisha Petty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Latisha Petty enrolled in Medicare?

Yes. Latisha Petty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Latisha Petty was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.