MRS. LATARA K CRADDOCK FNP-BC
NPI 1942821152
Nurse Practitioner - Family in Winston Salem, NC

Active since April 28, 2020PECOS EnrolledAccepts Medicare Assignment
2668 PETERS CREEK PKWY, WINSTON SALEM, NC 27127(336) 200-7020 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1942821152
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LATARA K CRADDOCKCredential: FNP-BC
Location Address2668 PETERS CREEK PKWYWinston Salem, NC 27127-5655
Mailing AddressPo Box 746724Atlanta, GA 30374-6724 · (312) 644-3941
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 28, 2020
Last NPPES UpdateApril 26, 2024
NPPES CertifiedApril 26, 2024
NPI 1942821152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5013213
2668 PETERS CREEK PKWY, Winston Salem, NC 27127

Secondary Practice Location 1

Location 13080 Trenwest DrWinston Salem, NC 27103-3208 · Phone (336) 768-0496

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.

PECOS PAC ID1951721653
PECOS Enrollment IDI20201019002485
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers26 claims98 services$6.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims23 services$1.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers36 claims37 services$190.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Nurse Practitioner
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Internal Medicine (Geriatric Medicine)
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Counselor (Mental Health)
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Nurse Practitioner (Family)
2668 PETERS CREEK PKWY
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.

Is Latara Craddock affiliated with any hospitals?

According to CMS data, Latara Craddock is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Latara Craddock was last updated on April 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.