LATIA RACHELLE SUMMERVILLE FNP-C
NPI 1710630157
Nurse Practitioner - Family in Paris, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Latia Rachelle Summerville Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Latia Summerville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Paris, IL 61944
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1679502322 (Illinois)
- 216 clinicians in this Medicare group
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 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.
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.
PARIS, IL 61944
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.
Which organization bills Medicare for Latia Summerville's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latia Summerville reassigns Medicare benefits to Hospital & Medical Foundation Of Paris, Inc. (Paris, IL). The 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 Latia Summerville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Latia Rachelle Summerville, FNP-C · NPI 1710630157
Family physician in Paris, Illinois. Individual provider, active in the CMS NPPES registry since January 26, 2022.
## Identity
- **NPI:** 1710630157 (Entity type: Individual)
- **Enumerated:** January 26, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209025042 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 721 E COURT ST, Paris, IL 61944-2460
- **Phone:** (217) 465-4141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hospital & Medical Foundation Of Paris, Inc. (NPI 1629280367, Paris, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710630157) · Data from the CMS NPPES public registry.