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KELLY DARRAGH LATTANZI CRNP
NPI 1477749828
Nurse Practitioner - Adult Health in Bridgeport, PA

Active since September 19, 2007PECOS Enrolled
76.7/100
CMS Quality Rating
512 DEKALB ST, BRIDGEPORT, PA 19405(610) 787-8000(610) 270-2834 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, Mar 28, 2018 (2 updates tracked since 2018).

About Kelly Darragh Lattanzi Crnp NPPES

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

KELLY DARRAGH LATTANZI CRNP (NPI 1477749828) is an individual adult health provider in Bridgeport, Pennsylvania, licensed in Pennsylvania (SP009526) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477749828
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKELLY DARRAGH LATTANZICredential: CRNP
Location Address512 DEKALB STBridgeport, PA 19405-1134
Mailing Address512 Dekalb StBridgeport, PA 19405-1134 · (610) 787-8000 · Fax (610) 270-2834
Phone(610) 787-8000
Fax(610) 270-2834
Sole ProprietorNo
Enumeration DateSeptember 19, 2007
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1477749828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP009526
Also ListedRegistered NurseTaxonomy 163W00000X · License RN527774L (PA)
512 DEKALB ST, Bridgeport, PA 19405
Open in Google Maps ↗

Other Identifiers 1

Medicaid1022508560001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Darragh Lattanzi Crnp 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

2

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

Temple Faculty Practice Plan, Inc
12 mi
Otolaryngology
3509 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1023591781 (215) 707-3663
Novus Adult Care Services Inc.
37 mi
Adult Health
1565 LINDEN ST
Bethlehem, PA 18017
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 13 clinicians in this Medicare group
NPI 1679931349 (610) 867-5365

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 19405 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

Other Providers at the Same Location NPPES 3

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

KAREN M PAVLICK CRNP
Nurse Practitioner
512 DEKALB ST
BRIDGEPORT, PA 19405
Montgomery County (610) 787-8000
WENDY BURKHARDT CRNP
Nurse Practitioner (Family)
512 DEKALB ST
BRIDGEPORT, PA 19405
Montgomery County (610) 787-8000
MRS. DANA J SCHAEFFER-CHERASHORE RPH
Pharmacist
512 DEKALB ST
BRIDGEPORT, PA 19405
Montgomery County (610) 787-8000

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 Kelly Lattanzi's NPI number?

The NPI number for Kelly Lattanzi is 1477749828. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Where is Kelly Lattanzi located?

Kelly Lattanzi practices at 512 Dekalb St, Bridgeport, PA 19405. The listed phone number is (610) 787-8000.

What is Kelly Lattanzi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kelly Lattanzi enrolled in Medicare?

Yes. Kelly Lattanzi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Lattanzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lattanzi reassigns Medicare benefits to 2 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA) and Novus Adult Care Services Inc. (Bethlehem, PA). 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 Kelly Lattanzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Lattanzi was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.