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LATONYA SHINESE VAUGHN FNP
NPI 1760959209
Nurse Practitioner - Family in Chicago, IL

Active since November 01, 2018PECOS Enrolled
4149 W 79TH ST UNIT 2, CHICAGO, IL 60652(773) 407-0559 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jul 5, 2021, May 5, 2021 and 2 more (5 updates tracked since 2018).

About Latonya Shinese Vaughn Fnp NPPES

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

LATONYA SHINESE VAUGHN FNP (NPI 1760959209) is an individual family provider in Chicago, Illinois, licensed in Illinois (209018648) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Grove.

NPPES Registry Identity

NPI1760959209
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLATONYA SHINESE VAUGHNCredential: FNP
Location Address4149 W 79TH ST UNIT 2Chicago, IL 60652-2329
Mailing Address4149 W 79th St Unit 2Chicago, IL 60652-2329 · (773) 407-0559
Phone(773) 407-0559
Sole ProprietorNo
Enumeration DateNovember 1, 2018
Last NPPES UpdateJune 29, 20235 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1760959209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209018648
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.405551 (IL)
4149 W 79TH ST UNIT 2, Chicago, IL 60652
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Secondary Practice Location 1

Location 13880 Salem Lake Dr Ste FLong Grove, IL 60047-5292 · Phone (847) 719-2220 ext. 222 · Fax (847) 719-2265

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latonya Shinese Vaughn Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60652 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 Latonya Vaughn's NPI number?

The NPI number for Latonya Vaughn is 1760959209. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Where is Latonya Vaughn located?

Latonya Vaughn practices at 4149 W 79th St Unit 2, Chicago, IL 60652. The listed phone number is (773) 407-0559.

What is Latonya Vaughn's specialty?

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

Is Latonya Vaughn enrolled in Medicare?

Yes. Latonya Vaughn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Latonya Vaughn was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.