MISS LATISHA OLIVIA BRISTOL PA
NPI 1265597538
Physician Assistant in Stafford, VA

Active since December 26, 2006PECOS EnrolledAccepts Medicare Assignment
60 PROSPERITY LN, STAFFORD, VA 22556(540) 658-2811 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 (2 updates tracked since 2018).

About Miss Latisha Olivia Bristol Pa NPPES

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

MISS LATISHA OLIVIA BRISTOL PA (NPI 1265597538) is an individual physician assistant in Stafford, Virginia, licensed in Virginia (0110004651) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stafford, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1265597538
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS LATISHA OLIVIA BRISTOLCredential: PA
Location Address60 PROSPERITY LNStafford, VA 22556-4605
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 26, 2006
Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
NPI 1265597538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VA · 0110004651 Licensed in DC · PA030279
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
60 PROSPERITY LN, Stafford, VA 22556

Secondary Practice Location 1

Location 160 Prosperity LnStafford, VA 22556-4605 · Phone (540) 658-2811

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

Miss Latisha Olivia Bristol 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 ID7315135761
PECOS Enrollment IDI20101229000393, I20141217002920
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.
95 services93 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.
52 services50 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.
45 services44 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.
44 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 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.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22556 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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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 12

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

Nurse Practitioner (Primary Care)
60 PROSPERITY LN
STAFFORD, VA 22556
Family Medicine
60 PROSPERITY LN
STAFFORD, VA 22556
Family Medicine
60 PROSPERITY LN
STAFFORD, VA 22556
Physician Assistant
60 PROSPERITY LN
STAFFORD, VA 22556
Family Medicine
60 PROSPERITY LN
STAFFORD, VA 22556
Physician Assistant
60 PROSPERITY LN
STAFFORD, VA 22556
Physician Assistant
60 PROSPERITY LN
STAFFORD, VA 22556
Physician Assistant
60 PROSPERITY LN
STAFFORD, VA 22556

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 Bristol's NPI number?

The NPI number for Latisha Bristol is 1265597538. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Latisha Bristol located?

Latisha Bristol practices at 60 Prosperity Ln, Stafford, VA 22556. The listed phone number is (540) 658-2811.

What is Latisha Bristol's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Latisha Bristol enrolled in Medicare?

Yes. Latisha Bristol 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 Latisha Bristol 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.