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MS. LATEISHA NICOLE FORT APN-FPA
NPI 1275024523
Nurse Practitioner - Acute Care in Harvey, IL

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
1 INGALLS DR, HARVEY, IL 60426(708) 596-3344(708) 596-3432 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2026, Jul 21, 2024, Feb 21, 2023 and 3 more (6 updates tracked since 2018).

About Ms. Lateisha Nicole Fort Apn-fpa NPPES

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

MS. LATEISHA NICOLE FORT APN-FPA (NPI 1275024523) is an individual acute care provider in Harvey, Illinois, licensed in Illinois (277002648) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Ingalls Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275024523
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. LATEISHA NICOLE FORTCredential: APN-FPA
Location Address1 INGALLS DRHarvey, IL 60426-3558
Mailing Address18241 West St Ste 209Lansing, IL 60438-3200 · (800) 897-4575 · Fax (800) 306-9509
Phone(708) 596-3344
Fax(708) 596-3432
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 22, 2018
Last NPPES UpdateMarch 23, 20266 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1275024523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 277002648
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 277002648 (IL)
1 INGALLS DR, Harvey, IL 60426
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12821 S Harlem Ave Ste 9Berwyn, IL 60402-5273 · Phone (708) 668-6971
Location 25666 E State StRockford, IL 61108-2425 · Phone (815) 227-2586 · Fax (815) 227-2579

Other Identifiers 1

Medicaid921750533001IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Ms. Lateisha Nicole Fort Apn-fpa 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 ID2466708102
PECOS Enrollment IDI20180710003116
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

3

Medicare enrollment records show Lateisha Fort reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
13 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
13 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200
Osf Multi-Specialty Group
119 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60426 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

MARGARET ANN WOODS R.D.
Dietitian, Registered
1 INGALLS DR, INGALLS MEMORIAL HOSPITAL
HARVEY, IL 60426
Cook County (708) 915-7534
INGALLS MEMORIAL HOSPITAL
Rehabilitation Unit
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 915-6107
MRS. SARA C SUNGKAPAN MS, OTR/L
Occupational Therapist
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 915-5962
ASSOCIATED LABORATORY PHYSICIANS SC
Pathology (Anatomic Pathology & Clinical Pathology)
1 INGALLS DR, PATHOLOGY DEPT.
HARVEY, IL 60426
Cook County (708) 915-5763
MARK STOSSEL M.D.
Emergency Medicine
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 332-2300
MRS. NANCY R. DUMONT OT
Rehabilitation Hospital
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 333-2300
LARRY L FOSTER P.A.
Physician Assistant
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 332-2300
JUDITH NG WEN RDN
Dietitian, Registered
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 915-5945

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 Lateisha Fort's NPI number?

The NPI number for Lateisha Fort is 1275024523. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Lateisha Fort located?

Lateisha Fort practices at 1 Ingalls Dr, Harvey, IL 60426. The listed phone number is (708) 596-3344.

What is Lateisha Fort's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lateisha Fort enrolled in Medicare?

Yes. Lateisha Fort 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.

Which organizations bill Medicare for Lateisha Fort's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lateisha Fort reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lateisha Fort's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lateisha Fort accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Lateisha Fort 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.

Is Lateisha Fort affiliated with any hospitals?

According to CMS data, Lateisha Fort is affiliated with Ingalls Memorial Hospital and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Lateisha Fort was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.