SHANTEL LATTA FNP-C
NPI 1962092932
Nurse Practitioner - Family in Blackstone, VA
About Shantel Latta Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANTEL LATTA FNP-C (NPI 1962092932) is an individual family provider in Blackstone, Virginia, licensed in Virginia (0024180790) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chester, and is a graduate of Other (2020).
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
Shantel Latta Fnp-c 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 Shantel Latta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blackstone, VA 23824
- Reassigned Medicare billing, Virginia enrollment
Henrico, VA 23228
- Reassigned Medicare billing, Virginia enrollment
- 36 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Virginia enrollment
- 501 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 4
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 23824 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shantel Latta's NPI number?
The NPI number for Shantel Latta is 1962092932. It was assigned to this individual provider in the NPPES registry on January 22, 2021.
Where is Shantel Latta located?
Shantel Latta practices at 103 E Broad St, Blackstone, VA 23824. The listed phone number is (434) 264-3221.
What is Shantel Latta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shantel Latta enrolled in Medicare?
Yes. Shantel Latta 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 Shantel Latta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shantel Latta reassigns Medicare benefits to 3 organizations: County Med, LLC (Blackstone, VA), Little Clinic Of VA LLC (Henrico, VA) and Signify Health, LLC (Dallas, TX). 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 Shantel Latta'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 Shantel Latta was last updated on December 9, 2023. 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.
# Shantel Latta, FNP-C · NPI 1962092932
Family physician in Blackstone, Virginia. Individual provider, active in the CMS NPPES registry since January 22, 2021.
## Identity
- **NPI:** 1962092932 (Entity type: Individual)
- **Enumerated:** January 22, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024180790 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 103 E BROAD ST, Blackstone, VA 23824-1815
- **Phone:** (434) 264-3221
## 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): County Med, LLC (NPI 1407580483, Blackstone, VA); Little Clinic Of VA LLC (NPI 1225440076, Henrico, VA); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962092932) · Data from the CMS NPPES public registry.