DEXTER SHABAZZ LETT
NPI 1245756964
Nurse Practitioner - Psychiatric/Mental Health in S. Prince George, VA

Active since August 15, 2017PECOS EnrolledAccepts Medicare Assignment
10543 S. CRATER RD, S. PRINCE GEORGE, VA 23805(804) 431-5585(804) 431-5820 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2023, Nov 4, 2022, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dexter Shabazz Lett NPPES

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

DEXTER SHABAZZ LETT (NPI 1245756964) is an individual psychiatric/mental health provider in S. Prince George, Virginia, licensed in Virginia (0024184489) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245756964
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDEXTER SHABAZZ LETT
Location Address10543 S. CRATER RDS. Prince George, VA 23805
Mailing Address10543 S Crater RdSouth Prince George, VA 23805-7333 · (804) 431-5585 · Fax (804) 431-5820
Fax(804) 431-5820
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 15, 2017
Last NPPES UpdateNovember 4, 20224 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
NPI 1245756964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VA · 0024184489
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001228602 (VA)
10543 S. CRATER RD, S. Prince George, VA 23805

Accepted Insurance

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

Dexter Shabazz Lett 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 ID8426424862
PECOS Enrollment IDI20221026001360
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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
110 services14 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.
108 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23805 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 Dexter Lett's NPI number?

The NPI number for Dexter Lett is 1245756964. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Dexter Lett located?

Dexter Lett practices at 10543 S. Crater Rd, S. Prince George, VA 23805. The listed phone number is (804) 431-5585.

What is Dexter Lett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dexter Lett enrolled in Medicare?

Yes. Dexter Lett 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.

What insurance does Dexter Lett accept?

Health plans from Providence Health Plan list Dexter Lett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dexter Lett was last updated on November 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.