SHANTEL LATTA FNP-C
NPI 1962092932
Nurse Practitioner - Family in Blackstone, VA

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
103 E BROAD ST, BLACKSTONE, VA 23824(434) 264-3221 Get Directions Write a Review

NPPES record last updated: December 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2023, Dec 22, 2022, May 6, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1962092932
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANTEL LATTACredential: FNP-C
Location Address103 E BROAD STBlackstone, VA 23824-1815
Mailing AddressPo Box 635Blackstone, VA 23824-0635
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 22, 2021
Last NPPES UpdateDecember 9, 20234 updates tracked since enumeration
NPPES CertifiedDecember 9, 2023
NPI 1962092932 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 VA · 0024180790
103 E BROAD ST, Blackstone, VA 23824

Secondary Practice Location 1

Location 110800 Iron Bridge RdChester, VA 23831-1628 · Phone (804) 318-5589

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

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.

PECOS PAC ID1254727290
PECOS Enrollment IDI20220331000916
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

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.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Clinic/Center (Primary Care)
103 E BROAD ST
BLACKSTONE, VA 23824
Dentist (General Practice)
103 E BROAD ST
BLACKSTONE, VA 23824

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.

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.