MS. LATISHA LYNNE DEYOUNG NP
NPI 1659536688
Nurse Practitioner - Acute Care in Grand Rapids, MI

Active since July 18, 2008PECOS EnrolledAccepts Medicare Assignment
360 LAFAYETTE AVE SE STE 400, GRAND RAPIDS, MI 49503(616) 486-6870 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Latisha Lynne Deyoung Np NPPES

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

MS. LATISHA LYNNE DEYOUNG NP (NPI 1659536688) is an individual acute care provider in Grand Rapids, Michigan, licensed in Michigan (4704202168) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1659536688
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. LATISHA LYNNE DEYOUNGCredential: NP
Location Address360 LAFAYETTE AVE SE STE 400Grand Rapids, MI 49503-4677
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 18, 2008
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1659536688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704202168
360 LAFAYETTE AVE SE STE 400, Grand Rapids, MI 49503

Accepted Insurance

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. Latisha Lynne Deyoung Np 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 ID2769532639
PECOS Enrollment IDI20240911000470
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 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 8

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

Psychologist (Clinical)
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Occupational Therapist
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Dietitian, Registered (Nutrition, Pediatric)
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Psychologist
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Pediatrics (Neurodevelopmental Disabilities)
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Dietitian, Registered
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Pediatrics
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503

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 Latisha Deyoung's NPI number?

The NPI number for Latisha Deyoung is 1659536688. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Latisha Deyoung located?

Latisha Deyoung practices at 360 Lafayette Ave SE Ste 400, Grand Rapids, MI 49503. The listed phone number is (616) 486-6870.

What is Latisha Deyoung's specialty?

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

Is Latisha Deyoung enrolled in Medicare?

Yes. Latisha Deyoung 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.

What insurance does Latisha Deyoung accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Latisha Deyoung 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 Latisha Deyoung was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.