TIFFANY L LATTIMORE PA
NPI 1699104315
Physician Assistant in Stanwood, MI

Active since November 04, 2013PECOS Enrolled
8354 100TH AVE, STANWOOD, MI 49346(231) 972-6000 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2023, Feb 18, 2021 (2 updates tracked since 2021).

About Tiffany L Lattimore Pa NPPES

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

TIFFANY L LATTIMORE PA (NPI 1699104315) is an individual physician assistant in Stanwood, Michigan, licensed in Michigan (5601006795) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699104315
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY L LATTIMORECredential: PA
Location Address8354 100TH AVEStanwood, MI 49346-8344
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790 · Fax (616) 486-6702
Sole ProprietorNo
Enumeration DateNovember 4, 2013
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
NPI 1699104315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006795
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8354 100TH AVE, Stanwood, MI 49346

Other Names 1

Former Name (1)Tiffany L Medler

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiffany L Lattimore Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49346 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers29 claims113 services$6.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims13 services$1.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$19.12 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers21 claims27 services$8.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers59 claims59 services$103.82 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$32.77 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 5

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

General Acute Care Hospital
8354 100TH AVE
CANADIAN LAKES, MI 49346
Physical Therapist
8354 100TH AVE, SUITE 2
CANADIAN LAKES, MI 49346
Home Health
8354 100TH AVE, SUITE 3
CANADIAN LAKES, MI 49346
Physical Therapist
8354 100TH AVE, STE 2
CANADIAN LAKES, MI 49346
Social Worker (Clinical)
8354 100TH AVE
STANWOOD, MI 49346

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 Tiffany Lattimore's NPI number?

The NPI number for Tiffany Lattimore is 1699104315. It was assigned to this individual provider in the NPPES registry on November 4, 2013. The provider is also known as Tiffany L Medler.

Where is Tiffany Lattimore located?

Tiffany Lattimore practices at 8354 100th Ave, Stanwood, MI 49346. The listed phone number is (231) 972-6000.

What is Tiffany Lattimore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tiffany Lattimore enrolled in Medicare?

Yes. Tiffany Lattimore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Lattimore was last updated on June 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.