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MR. MICAH LATHAM APRN-CNP
NPI 1730783606
Nurse Practitioner - Family in Malvern, AR

Active since November 23, 2020PECOS EnrolledAccepts Medicare Assignment
1208 BROWNWOOD ST, MALVERN, AR 72104(540) 446-9297 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Micah Latham Aprn-cnp NPPES

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

MR. MICAH LATHAM APRN-CNP (NPI 1730783606) is an individual family provider in Malvern, Arkansas, licensed in Arkansas (213314) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730783606
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICAH LATHAMCredential: APRN-CNP
Location Address1208 BROWNWOOD STMalvern, AR 72104-2202
Mailing Address1208 Brownwood StMalvern, AR 72104-2202
Phone(540) 446-9297
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 23, 2020
NPPES CertifiedOctober 30, 2020
✔ NPI 1730783606 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
License✔ Licensed in AR · 213314
1208 BROWNWOOD ST, Malvern, AR 72104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Micah Latham Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193190296
PECOS Enrollment IDI20230403001162
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Micah Latham reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appello Health And Wellness Clinic, LLC
2.6 mi
Rural Health
2223 GRANT ST
Malvern, AR 72104
  • Reassigned Medicare billing, Arkansas enrollment
  • 98 clinicians in this Medicare group
NPI 1215773262 (501) 337-9031
Icp Arkansas Aco Billing LLC
41 mi
Clinical Nurse Specialist
8060 COUNTS MASSIE RD STE B
Maumelle, AR 72113
  • Reassigned Medicare billing, Arkansas enrollment
  • 56 clinicians in this Medicare group
NPI 1679157838 (800) 807-6555
Abode Care Partners Al Vb, LLC
41 mi
Nurse Practitioner
200 RIVER MARKET AVE STE 100
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
  • 34 clinicians in this Medicare group
NPI 1861205460 (800) 807-6555
Abode Care Partners Ltc Vb, LLC
41 mi
Nurse Practitioner
200 RIVER MARKET AVE STE 100
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
  • 35 clinicians in this Medicare group
NPI 1669285367 (800) 807-6555
Integrated Care Professionals, LLC
41 mi
Clinical Nurse Specialist
200 RIVER MARKET AVE STE 300
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
  • 37 clinicians in this Medicare group
NPI 1164762662 (479) 968-8279
Shc Medical Partners Of Arkansas, LLC
41 mi
Nurse Practitioner
200 RIVER MARKET AVE STE 100
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
  • 45 clinicians in this Medicare group
NPI 1821830795 (501) 267-9870

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
928 services97 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
485 services67 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
46 services39 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
28 services22 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services14 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72104 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Micah Latham's NPI number?

The NPI number for Micah Latham is 1730783606. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Micah Latham located?

Micah Latham practices at 1208 Brownwood St, Malvern, AR 72104. The listed phone number is (540) 446-9297.

What is Micah Latham's specialty?

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

Is Micah Latham enrolled in Medicare?

Yes. Micah Latham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Micah Latham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micah Latham reassigns Medicare benefits to 6 organizations: Appello Health And Wellness Clinic, LLC (Malvern, AR), Icp Arkansas Aco Billing LLC (Maumelle, AR), Abode Care Partners Al Vb, LLC (Little Rock, AR), Abode Care Partners Ltc Vb, LLC (Little Rock, AR), Integrated Care Professionals, LLC (Little Rock, AR) and 1 more organization, listed in the Medicare section above. Each 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 Micah Latham'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 Micah Latham was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.