LATOYA M CARSTARPHEN
NPI 1790134369
Nurse Practitioner - Family in Birmingham, AL
About Latoya M Carstarphen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATOYA M CARSTARPHEN (NPI 1790134369) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-127925) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Latoya M Carstarphen 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.
Medicare Billing Reassignments
8Medicare enrollment records show Latoya Carstarphen reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35235
- Reassigned Medicare billing, Alabama enrollment
- 66 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 263 clinicians in this Medicare group
Tuscaloosa, AL 35406
- Reassigned Medicare billing, Alabama enrollment
- 307 clinicians in this Medicare group
Tuscaloosa, AL 35401
- Reassigned Medicare billing, Alabama enrollment
- 244 clinicians in this Medicare group
Baton Rouge, LA 70816
- Reassigned Medicare billing, Alabama enrollment
- 229 clinicians in this Medicare group
Houston, TX 77024
- Reassigned Medicare billing, Texas enrollment
- 802 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Alabama, Arizona, Delaware and Virginia enrollments
- 456 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Georgia, Iowa, Michigan, Oregon, Texas and Washington enrollments
- 488 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BIRMINGHAM, AL 35235
BIRMINGHAM, AL 35235
BIRMINGHAM, AL 35235
BIRMINGHAM, AL 35235
BIRMINGHAM, AL 35235
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 Latoya Carstarphen's NPI number?
The NPI number for Latoya Carstarphen is 1790134369. It was assigned to this individual provider in the NPPES registry on June 6, 2016.
Where is Latoya Carstarphen located?
Latoya Carstarphen practices at 48 Medical Park Dr E Suite 154, Birmingham, AL 35235. The listed phone number is (205) 202-5650.
What is Latoya Carstarphen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Latoya Carstarphen enrolled in Medicare?
Yes. Latoya Carstarphen 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 Latoya Carstarphen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latoya Carstarphen reassigns Medicare benefits to 8 organizations: Eastern Hospital Medicine PC (Birmingham, AL), Vincentian Physician Services LLC (Birmingham, AL), Capstone Health Services Foundation PC (Tuscaloosa, AL), Whatley Health Services Inc (Tuscaloosa, AL), Hospital Medicine Associates LLC (Baton Rouge, LA) and 3 more organizations, 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 Latoya Carstarphen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Latoya Carstarphen accept?
Health plans from Blue Cross and Blue Shield of Alabama and CareSource (Common Ground Healthcare) list Latoya Carstarphen 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 Latoya Carstarphen was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Latoya M Carstarphen · NPI 1790134369
Family physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since June 6, 2016.
## Identity
- **NPI:** 1790134369 (Entity type: Individual)
- **Enumerated:** June 6, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-127925 (Alabama)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 48 MEDICAL PARK DR E, SUITE 154, Birmingham, AL 35235-3400
- **Phone:** (205) 202-5650
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Eastern Hospital Medicine PC (NPI 1104859123, Birmingham, AL); Vincentian Physician Services LLC (NPI 1851698310, Birmingham, AL); Capstone Health Services Foundation PC (NPI 1255212353, Tuscaloosa, AL); Whatley Health Services Inc (NPI 1063606358, Tuscaloosa, AL); Hospital Medicine Associates LLC (NPI 1093758781, Baton Rouge, LA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 6, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1790134369) · Data from the CMS NPPES public registry.