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STEPHANIE LATSHAW
NPI 1750960050
Allergy & Immunology in Burnsville, MN

Active since April 05, 2021PECOS Enrolled
14000 FAIRVIEW DR, BURNSVILLE, MN 55337(952) 993-8700 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Oct 3, 2022, Sep 27, 2022 and 1 more (4 updates tracked since 2021).

About Stephanie Latshaw NPPES

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

STEPHANIE LATSHAW (NPI 1750960050) is an individual allergy & immunology provider in Burnsville, Minnesota, licensed in Minnesota (82086) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1750960050
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameSTEPHANIE LATSHAW
Location Address14000 FAIRVIEW DRBurnsville, MN 55337-5713
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-8700
Sole ProprietorNo
Enumeration DateApril 5, 2021
Last NPPES UpdateAugust 12, 20264 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1750960050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in MN · 82086
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
14000 FAIRVIEW DR, Burnsville, MN 55337
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Secondary Practice Location 1

Location 1705 Riley Hospital Dr., RI-5837Indianapolis, IN 46202 · Phone (317) 944-4034

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Latshaw 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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Latshaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Methodist Hospital
13 mi
General Acute Care Hospital
3900 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Park Nicollet Clinic
  • 2,527 clinicians in this Medicare group
NPI 1194113217 (952) 993-1953

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

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.

AMY MARTINEZ PT
Physical Therapist
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8521
ETHAN M DEKAM
Physician Assistant
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
DR. DALE N AKKERMAN M.D.
Obstetrics & Gynecology
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
DR. GEETA L BALKISSOON MB BS
Family Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
LEAH CAROLINE JOHNSON
Physician Assistant
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
ZHEN ZHEN LUO
Internal Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
ANGELA NICOLE SCORE
Nurse Practitioner (Gerontology)
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (612) 341-4800
DR. SHEILA J JENKINS M.D.
Pediatrics
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700

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 Stephanie Latshaw's NPI number?

The NPI number for Stephanie Latshaw is 1750960050. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Stephanie Latshaw located?

Stephanie Latshaw practices at 14000 Fairview Dr, Burnsville, MN 55337. The listed phone number is (952) 993-8700.

What is Stephanie Latshaw's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Stephanie Latshaw enrolled in Medicare?

Yes. Stephanie Latshaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Latshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Latshaw reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). 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 Stephanie Latshaw'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 Stephanie Latshaw was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.