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LATOVA NICHELLE QUATTLEBAUM NP
NPI 1659854255
Nurse Practitioner in Columbia, SC

Active since September 10, 2018PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
1228 HARDEN ST STE B, COLUMBIA, SC 29204(803) 733-5969(803) 753-5591 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2021, Sep 10, 2018 (2 updates tracked since 2018).

About Latova Nichelle Quattlebaum Np NPPES

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

LATOVA NICHELLE QUATTLEBAUM NP (NPI 1659854255) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (21979) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659854255
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLATOVA NICHELLE QUATTLEBAUMCredential: NP
Location Address1228 HARDEN ST STE BColumbia, SC 29204-1800
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 753-5591
Phone(803) 733-5969
Fax(803) 753-5591
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 10, 2018
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1659854255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 21979
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 21979 (SC)
1228 HARDEN ST STE B, Columbia, SC 29204
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Secondary Practice Location 1

Location 11301 Taylor St Ste JColumbia, SC 29201-2942 · Phone (803) 296-2942 · Fax (803) 779-9581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.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

Latova Nichelle Quattlebaum 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 ID3072857101
PECOS Enrollment IDI20181130001131
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 Latova Quattlebaum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eau Claire Cooperative Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
1228 HARDEN ST, STE.C
Columbia, SC 29204
  • Reassigned Medicare billing, South Carolina enrollment
  • 145 clinicians in this Medicare group
NPI 1053622050 (803) 748-1181
Prisma Health Medical Group-Midlands
Same address
Multi-Specialty
3555 HARDEN STREET EXT STE 300
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1275988321 (803) 545-5000

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 29204 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

EAU CLAIRE COOPERATIVE HEALTH CENTER ,INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1228 HARDEN ST STE B
COLUMBIA, SC 29204
Richland County (803) 748-7002
BRANDI BURGESS HAIR BSN, RN
Nurse Practitioner (Family)
1228 HARDEN ST STE B
COLUMBIA, SC 29204
Richland County (803) 744-0540
DR. CAROL A HEEBNER M.D.
Pediatrics
1228 HARDEN ST STE B
COLUMBIA, SC 29204
Richland County (803) 748-7002
LESLIE CAROL STANFIELD MD
Pediatrics
1228 HARDEN ST STE B
COLUMBIA, SC 29204
Richland County (803) 748-7002

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 Latova Quattlebaum's NPI number?

The NPI number for Latova Quattlebaum is 1659854255. It was assigned to this individual provider in the NPPES registry on September 10, 2018.

Where is Latova Quattlebaum located?

Latova Quattlebaum practices at 1228 Harden St Ste B, Columbia, SC 29204. The listed phone number is (803) 733-5969.

What is Latova Quattlebaum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Latova Quattlebaum enrolled in Medicare?

Yes. Latova Quattlebaum 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 Latova Quattlebaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latova Quattlebaum reassigns Medicare benefits to 2 organizations: Eau Claire Cooperative Health Center, Inc. (Columbia, SC) and Prisma Health Medical Group-Midlands (Columbia, SC). 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 Latova Quattlebaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latova Quattlebaum accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Latova Quattlebaum 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 Latova Quattlebaum was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.