BROOKE LATNER
NPI 1902620156
Physician Assistant - Surgical in Fairfield, CA

Active since November 14, 2024PECOS EnrolledAccepts Medicare Assignment
2500 HILBORN RD, FAIRFIELD, CA 94534(707) 646-5599 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke Latner NPPES

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

BROOKE LATNER (NPI 1902620156) is an individual surgical provider in Fairfield, California, licensed in California (PA65967) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902620156
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBROOKE LATNER
Location Address2500 HILBORN RDFairfield, CA 94534-1097
Mailing Address2500 Hilborn RdFairfield, CA 94534-1097 · (707) 646-5599
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 14, 2024
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1902620156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA65967
2500 HILBORN RD, Fairfield, CA 94534

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

Brooke Latner 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 ID3476063439
PECOS Enrollment IDI20250609002485
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.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
2500 HILBORN RD
FAIRFIELD, CA 94534
Occupational Therapist
2500 HILBORN RD
FAIRFIELD, CA 94534
Orthopaedic Surgery
2500 HILBORN RD
FAIRFIELD, CA 94534
Nurse Practitioner (Family)
2500 HILBORN RD
FAIRFIELD, CA 94534
Podiatrist (Foot & Ankle Surgery)
2500 HILBORN RD
FAIRFIELD, CA 94534

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 Brooke Latner's NPI number?

The NPI number for Brooke Latner is 1902620156. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Where is Brooke Latner located?

Brooke Latner practices at 2500 Hilborn Rd, Fairfield, CA 94534. The listed phone number is (707) 646-5599.

What is Brooke Latner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brooke Latner enrolled in Medicare?

Yes. Brooke Latner 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 Brooke Latner was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.