MRS. LATEEFA ANTROM CRNP
NPI 1487017125
Nurse Practitioner - Family in North Wales, PA
About Mrs. Lateefa Antrom Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LATEEFA ANTROM CRNP (NPI 1487017125) is an individual family provider in North Wales, Pennsylvania, licensed in Pennsylvania (SP015881) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norristown, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Lateefa Antrom Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lateefa Antrom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Wales, PA 19454
- Reassigned Medicare billing, Pennsylvania enrollment
- 21 clinicians in this Medicare group
North Wales, PA 19454
- Reassigned Medicare billing, Pennsylvania enrollment
- 16 clinicians in this Medicare group
Frisco, TX 75034
- Reassigned Medicare billing, Pennsylvania enrollment
- 6 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH WALES, PA 19454
NORTH WALES, PA 19454
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 Lateefa Antrom's NPI number?
The NPI number for Lateefa Antrom is 1487017125. It was assigned to this individual provider in the NPPES registry on March 31, 2016.
Where is Lateefa Antrom located?
Lateefa Antrom practices at 1427 Horsham Rd, North Wales, PA 19454. The listed phone number is (215) 326-9065.
What is Lateefa Antrom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lateefa Antrom enrolled in Medicare?
Yes. Lateefa Antrom 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 Lateefa Antrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lateefa Antrom reassigns Medicare benefits to 3 organizations: Wellness Medical Services LLC (North Wales, PA), Wellness Medical Svcs PC (North Wales, PA) and Patient Sortal Health PLLC (Frisco, TX). 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 Lateefa Antrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lateefa Antrom accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lateefa Antrom 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.
When was this NPI record last updated?
The NPPES record for Lateefa Antrom was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Lateefa Antrom, CRNP · NPI 1487017125
Family physician in North Wales, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1487017125 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP015881 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1427 HORSHAM RD, North Wales, PA 19454-1320
- **Phone:** (215) 326-9065 · **Fax:** (215) 703-9776
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Wellness Medical Services LLC (NPI 1649926049, North Wales, PA); Wellness Medical Svcs PC (NPI 1538992045, North Wales, PA); Patient Sortal Health PLLC (NPI 1790442077, Frisco, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1487017125) · Data from the CMS NPPES public registry.