LATISHA FLANIGAN CRNP-PMH
NPI 1710793989
Nurse Practitioner - Psychiatric/Mental Health in Halethorpe, MD

Active since December 03, 2024PECOS Enrolled
1420 JOH AVE STE D, HALETHORPE, MD 21227(443) 435-0030 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Latisha Flanigan Crnp-pmh NPPES

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

LATISHA FLANIGAN CRNP-PMH (NPI 1710793989) is an individual psychiatric/mental health provider in Halethorpe, Maryland, licensed in Maryland (R173061) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710793989
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLATISHA FLANIGANCredential: CRNP-PMH
Location Address1420 JOH AVE STE DHalethorpe, MD 21227-1073
Mailing Address1420 Joh Ave Ste DHalethorpe, MD 21227-1073
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
NPI 1710793989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R173061
1420 JOH AVE STE D, Halethorpe, MD 21227

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Latisha Flanigan Crnp-pmh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890279491
PECOS Enrollment IDI20260321000458
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 21227 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 5

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

Community/Behavioral Health
1420 JOH AVE STE D
BALTIMORE, MD 21227
Nurse Practitioner (Psychiatric/Mental Health)
1420 JOH AVE STE D
HALETHORPE, MD 21227
Community/Behavioral Health
1420 JOH AVE STE D
BALTIMORE, MD 21227
Community/Behavioral Health
1420 JOH AVE STE D
BALTIMORE, MD 21227
Community/Behavioral Health
1420 JOH AVE STE D
BALTIMORE, MD 21227

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 Latisha Flanigan's NPI number?

The NPI number for Latisha Flanigan is 1710793989. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Latisha Flanigan located?

Latisha Flanigan practices at 1420 Joh Ave Ste D, Halethorpe, MD 21227. The listed phone number is (443) 435-0030.

What is Latisha Flanigan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Latisha Flanigan enrolled in Medicare?

Yes. Latisha Flanigan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Latisha Flanigan was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.