MRS. LATARA K CRADDOCK FNP-BC
NPI 1942821152
Nurse Practitioner - Family in Winston Salem, NC
About Mrs. Latara K Craddock Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LATARA K CRADDOCK FNP-BC (NPI 1942821152) is an individual family provider in Winston Salem, North Carolina, licensed in North Carolina (5013213) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Latara K Craddock Fnp-bc 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.
Areas of Expertise CMS Part B claims 2
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 27127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WINSTON SALEM, NC 27127
WINSTON SALEM, NC 27127
WINSTON SALEM, NC 27127
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 Latara Craddock's NPI number?
The NPI number for Latara Craddock is 1942821152. It was assigned to this individual provider in the NPPES registry on April 28, 2020.
Where is Latara Craddock located?
Latara Craddock practices at 2668 Peters Creek Pkwy, Winston Salem, NC 27127. The listed phone number is (336) 200-7020.
What is Latara Craddock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Latara Craddock enrolled in Medicare?
Yes. Latara Craddock 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 Latara Craddock was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Latara K Craddock, FNP-BC · NPI 1942821152
Family physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since April 28, 2020.
## Identity
- **NPI:** 1942821152 (Entity type: Individual)
- **Enumerated:** April 28, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5013213 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2668 PETERS CREEK PKWY, Winston Salem, NC 27127-5655
- **Phone:** (336) 200-7020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942821152) · Data from the CMS NPPES public registry.