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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LATONYA POLK
NPI 1861551814
Clinical Nurse Specialist - Psychiatric/Mental Health in Longview, TX

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
1328 HERITAGE BLVD, LONGVIEW, TX 75605(902) 260-0412(866) 877-1258 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latonya Polk NPPES

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

LATONYA POLK (NPI 1861551814) is an individual psychiatric/mental health provider in Longview, Texas, licensed in Texas (1232380) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861551814
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameLATONYA POLK
Location Address1328 HERITAGE BLVDLongview, TX 75605-1472
Mailing Address1328 Heritage Blvd, 1328 Heritage BlvdLongview, TX 75605-1472 · (903) 315-8302 · Fax (866) 877-1258
Phone(902) 260-0412
Fax(866) 877-1258
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 6, 2006
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1861551814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in TX · 1232380
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
1328 HERITAGE BLVD, Longview, TX 75605
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Secondary Practice Locations 2

Location 1807 S Mobberly AveLongview, TX 75602-2037 · Phone (903) 553-0143 · Fax (903) 297-4999
Location 2205 E US Highway 80White Oak, TX 75693-2103 · Phone (903) 297-4959 · Fax (903) 297-4999

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

Latonya Polk 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 ID1355810318
PECOS Enrollment IDI20260519003473
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 75605 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Polk's NPI number?

The NPI number for Latonya Polk is 1861551814. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Latonya Polk located?

Latonya Polk practices at 1328 Heritage Blvd, Longview, TX 75605. The listed phone number is (902) 260-0412.

What is Latonya Polk's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Latonya Polk enrolled in Medicare?

Yes. Latonya Polk 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.

When was this NPI record last updated?

The NPPES record for Latonya Polk was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.