LATRELLE LACOLE WHITE
NPI 1275331860
Nurse Practitioner - Family in Tyler, TX

Active since March 07, 2025PECOS EnrolledAccepts Medicare Assignment
2301 VILLA DR, TYLER, TX 75703(903) 283-6076 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 18, 2025, Mar 10, 2025, Mar 7, 2025 (3 updates tracked since 2025).

About Latrelle Lacole White NPPES

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

LATRELLE LACOLE WHITE (NPI 1275331860) is an individual family provider in Tyler, Texas, licensed in Texas (1192533) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275331860
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLATRELLE LACOLE WHITE
Location Address2301 VILLA DRTyler, TX 75703-1951
Mailing Address2301 Villa DrTyler, TX 75703-1951 · (903) 283-6076
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 7, 2025
Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1275331860 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 TX · 1192533
Also ListedRegistered NurseTaxonomy 163W00000X · License 761563 (TX)
2301 VILLA DR, Tyler, TX 75703

Accepted 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

Latrelle Lacole White 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 ID9638409048
PECOS Enrollment IDI20250509003242
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 Reassignment

Medicare enrollment records show Latrelle White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Anesthetist, Certified Registered
11937 US HIGHWAY 271
Tyler, TX 75708
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At Tyler-Facilty-Physician
  • 299 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 4

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Jacksonville Hospital

Acute Care Hospitals · Jacksonville, TX
OwnershipProprietary
CMS Certification Number450194
Location501 S RagsdaleJacksonville, TX 75766 · Cherokee County
Emergency services Birthing friendly

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX
OwnershipProprietary
CMS Certification Number450475
Location300 Wilson StreetHenderson, TX 75652 · Rusk County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Latrelle White's NPI number?

The NPI number for Latrelle White is 1275331860. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Latrelle White located?

Latrelle White practices at 2301 Villa Dr, Tyler, TX 75703. The listed phone number is (903) 283-6076.

What is Latrelle White's specialty?

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

Is Latrelle White enrolled in Medicare?

Yes. Latrelle White 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 organization bills Medicare for Latrelle White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latrelle White reassigns Medicare benefits to University Of Texas Health Science Center At Tyler (Tyler, TX). The 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 Latrelle White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latrelle White accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Latrelle White 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 Latrelle White affiliated with any hospitals?

According to CMS data, Latrelle White is affiliated with Ut Health East Texas Tyler Regional Hospital, Ut Health East Texas Jacksonville Hospital, Ut Health East Texas Henderson Hospital and The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for Latrelle White was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.