MS. HEATHER WENDY ELIZABETH LATHAM
NPI 1548691736
Nurse Practitioner - Family in San Bernardino, CA

Active since December 12, 2013PECOS EnrolledAccepts Medicare Assignment
250 S G ST, SAN BERNARDINO, CA 92410(909) 651-7510 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2021, Sep 21, 2018, May 8, 2018 (3 updates tracked since 2018).

About Ms. Heather Wendy Elizabeth Latham NPPES

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

MS. HEATHER WENDY ELIZABETH LATHAM (NPI 1548691736) is an individual family provider in San Bernardino, California, licensed in California (95017941) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1548691736
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. HEATHER WENDY ELIZABETH LATHAM
Location Address250 S G STSan Bernardino, CA 92410-3320
Mailing Address250 S G StSan Bernardino, CA 92410-3320 · (909) 651-7510
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 12, 2013
Last NPPES UpdateSeptember 24, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1548691736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95017941✔ Licensed in WA · AP60436140
250 S G ST, San Bernardino, CA 92410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Heather Wendy Elizabeth Latham 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 ID5890915961
PECOS Enrollment IDI20210921003728
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92410 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier22 claims22 services$776.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine (Addiction Medicine)
250 S G ST
SAN BERNARDINO, CA 92410
Student in an Organized Health Care Education/Training Program
250 S G ST
SAN BERNARDINO, CA 92410
Family Medicine
250 S G ST
SAN BERNARDINO, CA 92410
Nurse Practitioner (Pediatrics)
250 S G ST
SAN BERNARDINO, CA 92410
Emergency Medical Technician, Paramedic
250 S G ST
SAN BERNARDINO, CA 92410
Psychologist
250 S G ST
SAN BERNARDINO, CA 92410
Substance Abuse Rehabilitation Facility
250 S G ST
SAN BERNARDINO, CA 92410
Family Medicine
250 S G ST
SAN BERNARDINO, CA 92410

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 Heather Latham's NPI number?

The NPI number for Heather Latham is 1548691736. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Heather Latham located?

Heather Latham practices at 250 S G St, San Bernardino, CA 92410. The listed phone number is (909) 651-7510.

What is Heather Latham's specialty?

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

Is Heather Latham enrolled in Medicare?

Yes. Heather Latham 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.

When was this NPI record last updated?

The NPPES record for Heather Latham was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.