MARIA D. LASTOVKA N.P.
NPI 1265729925
Nurse Practitioner - Family in Dickson, TN

Q: What is Maria Lastovka's NPI number?

The NPI number for Maria Lastovka is 1265729925. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Q: What is Maria Lastovka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Lastovka was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 01, 2011PECOS Enrolled

768 HIGHWAY 46 S, DICKSON, TN 37055(615) 441-4400(615) 441-4443 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2026, Apr 9, 2025, Jan 28, 2021 and 1 more (4 updates tracked since 2017).

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About Maria D. Lastovka N.p. NPPES

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

MARIA D. LASTOVKA N.P. (NPI 1265729925) is an individual family provider in Dickson, Tennessee, licensed in Tennessee (15909) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dickson.

NPPES Registry Identity

NPI1265729925

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIA D. LASTOVKACredential: N.P.

Location Address768 HIGHWAY 46 SDickson, TN 37055-2556

Mailing Address127 Crestview Park Dr Ste 209Dickson, TN 37055-2856 · (615) 446-5121 · Fax (615) 446-1357

Phone(615) 441-4400

Fax(615) 441-4443

Sole ProprietorNo

Enumeration DateJuly 1, 2011

Last NPPES UpdateMay 22, 20264 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1265729925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 15909

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License APN15909 (TN)

768 HIGHWAY 46 S, Dickson, TN 37055

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Secondary Practice Location 1

Location 1111 Highway 70 E Ste 103Dickson, TN 37055-2080 · Phone (615) 266-3854 · Fax (615) 694-2310

Other Identifiers 1

Medicaid1525572TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria D. Lastovka N.p. 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.

Medicare Billing Reassignments

Medicare enrollment records show Maria Lastovka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Diagnostic Imaging, PC

42 mi

Internal Medicine

3024 BUSINESS PARK CIR
Goodlettsville, TN 37072

Reassigned Medicare billing, Tennessee enrollment
734 clinicians in this Medicare group

NPI 1093741464 (615) 239-2061

Advanced Specialists, PC

42 mi

Internal Medicine

3024 BUSINESS PARK CIR
Goodlettsville, TN 37072

Reassigned Medicare billing, Tennessee enrollment
317 clinicians in this Medicare group

NPI 1649133463 (615) 239-2018

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37055 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 7

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

SYDNEY TAYLOR RATTO

Nurse Practitioner (Pediatrics)