TIMOTHY A LATTIMORE NURSE PRACTITIONER
NPI 1699326439
Nurse Practitioner in Orange Park, FL

Q: What is Timothy Lattimore's NPI number?

The NPI number for Timothy Lattimore is 1699326439. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Timothy Lattimore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Lattimore was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 23, 2019PECOS Enrolled

1594 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 264-8621 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy A Lattimore Nurse Practitioner NPPES

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

TIMOTHY A LATTIMORE NURSE PRACTITIONER (NPI 1699326439) is an individual nurse practitioner in Orange Park, Florida, licensed in Florida (APRN11002945) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699326439

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameTIMOTHY A LATTIMORECredential: NURSE PRACTITIONER

Location Address1594 KINGSLEY AVEOrange Park, FL 32073-4546

Mailing Address3616 Morning Meadow LnOrange Park, FL 32073-7602 · (904) 655-1153

Phone(904) 264-8621

Sole ProprietorNo

Enumeration DateSeptember 23, 2019

Last NPPES UpdateSeptember 27, 2019

✔ NPI 1699326439 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 FL · APRN11002945

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 APRN11002945 (FL)

1594 KINGSLEY AVE, Orange Park, FL 32073

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy A Lattimore Nurse Practitioner 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 32073 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$13.23 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

1 supplier12 claims12 services$61.89 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.

JANET UNDERKOFLER PA

Physician Assistant