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LATRINA S WALDEN FNP-C
NPI 1750861217
Nurse Practitioner - Primary Care in Lilburn, GA

Active since August 15, 2018PECOS EnrolledAccepts Medicare Assignment
4045 FIVE FORKS TRICKUM RD SW STE 130, LILBURN, GA 30047(404) 860-2425(678) 737-1726 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 22, 2024, Aug 15, 2018 (2 updates tracked since 2018).

About Latrina S Walden Fnp-c NPPES

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

LATRINA S WALDEN FNP-C (NPI 1750861217) is an individual primary care provider in Lilburn, Georgia, licensed in Georgia (214211) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750861217
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLATRINA S WALDENCredential: FNP-C
Location Address4045 FIVE FORKS TRICKUM RD SW STE 130Lilburn, GA 30047-2538
Mailing Address887 Ryan Ln SwLilburn, GA 30047-6642
Phone(404) 860-2425
Fax(678) 737-1726
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 15, 2018
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1750861217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · 214211
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 214211 (GA)
4045 FIVE FORKS TRICKUM RD SW STE 130, Lilburn, GA 30047
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Latrina S Walden Fnp-c 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 ID2062572761
PECOS Enrollment IDI20240715003240
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

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

LITTLE BY LITTLE WELLNESS CLINIC
Clinic/Center (Multi-Specialty)
4045 FIVE FORKS TRICKUM RD SW STE 130
LILBURN, GA 30047
Gwinnett County (404) 860-2425

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 Latrina Walden's NPI number?

The NPI number for Latrina Walden is 1750861217. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Latrina Walden located?

Latrina Walden practices at 4045 Five Forks Trickum Rd SW Ste 130, Lilburn, GA 30047. The listed phone number is (404) 860-2425.

What is Latrina Walden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Latrina Walden enrolled in Medicare?

Yes. Latrina Walden 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.

What insurance does Latrina Walden accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Latrina Walden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latrina Walden was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.