LATIA RACHELLE SUMMERVILLE FNP-C
NPI 1710630157
Nurse Practitioner - Family in Paris, IL

Q: What is Latia Summerville's NPI number?

The NPI number for Latia Summerville is 1710630157. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Q: What is Latia Summerville's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Latia Summerville was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 26, 2022PECOS Enrolled

721 E COURT ST, PARIS, IL 61944(217) 465-4141 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Latia Rachelle Summerville Fnp-c NPPES

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

LATIA RACHELLE SUMMERVILLE FNP-C (NPI 1710630157) is an individual family provider in Paris, Illinois, licensed in Illinois (209025042) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710630157

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLATIA RACHELLE SUMMERVILLECredential: FNP-C

Location Address721 E COURT STParis, IL 61944-2460

Mailing Address721 E Court StParis, IL 61944-2460 · (217) 465-4141

Phone(217) 465-4141

Sole ProprietorNo

Enumeration DateJanuary 26, 2022

Last NPPES UpdateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1710630157 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 IL · 209025042✔ Licensed in IL · F08210851

721 E COURT ST, Paris, IL 61944

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latia Rachelle Summerville Fnp-c 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 61944 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

BRENDA KAY STEVENS SLP

Speech-Language Pathologist

721 E COURT ST
PARIS, IL 61944

Edgar County (217) 465-4141

JAMES SCOTT WILLIAMSON CRNA

Nurse Anesthetist, Certified Registered

721 E COURT ST, PARIS COMMUNITY HOSPITAL
PARIS, IL 61944

Edgar County (217) 465-4141

MR. DANIEL LOGAN MACKEY

Dietitian, Registered

721 E COURT ST
PARIS, IL 61944

Edgar County (217) 466-4940

HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.

Ambulance

721 E COURT ST
PARIS, IL 61944

Edgar County (217) 465-4141

TABBITHA GILMAN

Nurse Practitioner

721 E COURT ST
PARIS, IL 61944

Edgar County (217) 465-4141

JANE EDWARDS PT

Physical Therapist

721 E COURT ST
PARIS, IL 61944

Edgar County (217) 465-4141

DR. JAMES HARRY GRIGGS M.D.

Anesthesiology

721 E COURT ST
PARIS, IL 61944

Edgar County (217) 465-4141

MADISON EASTON MS, RDN, LDN

Dietitian, Registered

721 E COURT ST
PARIS, IL 61944

Edgar County (217) 465-4141

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 Latia Summerville's NPI number?

The NPI number for Latia Summerville is 1710630157. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Where is Latia Summerville located?

Latia Summerville practices at 721 E Court St, Paris, IL 61944. The listed phone number is (217) 465-4141.

What is Latia Summerville's specialty?

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

Is Latia Summerville enrolled in Medicare?

Yes. Latia Summerville is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Latia Summerville was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.