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, maintains a secondary practice location in Winston Salem, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Latara Craddock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 6 clinicians in this Medicare group
Greensboro, NC 27405
- Reassigned Medicare billing, North Carolina enrollment
- 92 clinicians in this Medicare group
Mooresville, NC 28115
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Vitae Health Medical North Carolina PLLC
- 121 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 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.
Which organizations bill Medicare for Latara Craddock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latara Craddock reassigns Medicare benefits to 3 organizations: Jaime E Trujillo MD PA (Winston Salem, NC), Osh-Mi Physicians Group PC (Greensboro, NC) and Telos Health Systems Nc PLLC (Mooresville, NC). 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 Latara Craddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jaime E Trujillo MD PA (NPI 1730301037, Winston Salem, NC); Osh-Mi Physicians Group PC (NPI 1033766092, Greensboro, NC); Telos Health Systems Nc PLLC (NPI 1265064414, Mooresville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **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.