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CRAIG LARRY LATHEN FNP
NPI 1962265199
Nurse Practitioner in Owyhee, NV

Active since January 31, 2024PECOS EnrolledAccepts Medicare Assignment
1623 HOSPITAL LOOP, OWYHEE, NV 89832(775) 757-2415(775) 757-3010 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Craig Larry Lathen Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG LARRY LATHEN FNP (NPI 1962265199) is an individual nurse practitioner in Owyhee, Nevada, licensed in Idaho (55861) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with St Luke's Elmore Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962265199
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCRAIG LARRY LATHENCredential: FNP
Location Address1623 HOSPITAL LOOPOwyhee, NV 89832-1200
Mailing AddressPo Box 116Mountain City, NV 89831-0116 · (208) 851-2472
Phone(775) 757-2415
Fax(775) 757-3010
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1962265199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 55861
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1623 HOSPITAL LOOP, Owyhee, NV 89832
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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

Craig Larry Lathen Fnp 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 ID6709324106
PECOS Enrollment IDI20240816000944
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.

Medicare Billing Reassignment

Medicare enrollment records show Craig Lathen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shoshone-Paiute Tribes
Same address
Clinic/Center
1623 HOSPITAL LOOP
Owyhee, NV 89832
  • Reassigned Medicare billing, Texas enrollment
  • 36 clinicians in this Medicare group
NPI 1528230224 (775) 757-2415

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89832 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARRISON MARKEY WALLS
Emergency Medicine (Emergency Medical Services)
1623 HOSPITAL LOOP
OWYHEE, NV 89832
Elko County (775) 757-2415
MS. JACQUELINE LORRAINE SUGAI RN
Registered Nurse
1623 HOSPITAL LOOP
OWYHEE, NV 89832
Elko County (775) 757-2415
MICHAEL RAY FULLER
Emergency Medical Technician, Paramedic
1623 HOSPITAL LOOP
OWYHEE, NV 89832
Elko County (775) 757-2415
CLAYTON J THOMAS EMT
Emergency Medical Technician, Basic
1623 HOSPITAL LOOP
OWYHEE, NV 89832
Elko County (775) 757-2403
LORRAINE KAY MARSHALL LMSW, LADC
Counselor (Addiction (Substance Use Disorder))
1623 HOSPITAL LOOP
OWYHEE, NV 89832
Elko County (775) 757-2415
MS. SHAYANNE ROSE EMT
Emergency Medical Technician, Basic
1623 HOSPITAL LOOP
OWYHEE, NV 89832
Elko County (775) 757-2415
SHARON CUMMINS CNA
Nurse's Aide
1623 HOSPITAL LOOP
OWYHEE, NV 89832
Elko County (775) 757-2415
ISABELLE MARIE BUSHNELL PHARMD
Pharmacist
1623 HOSPITAL LOOP
OWYHEE, NV 89832
Elko County (775) 757-2415

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 Craig Lathen's NPI number?

The NPI number for Craig Lathen is 1962265199. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is Craig Lathen located?

Craig Lathen practices at 1623 Hospital Loop, Owyhee, NV 89832. The listed phone number is (775) 757-2415.

What is Craig Lathen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Craig Lathen enrolled in Medicare?

Yes. Craig Lathen 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 organization bills Medicare for Craig Lathen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Lathen reassigns Medicare benefits to Shoshone-Paiute Tribes (Owyhee, NV). The 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 Craig Lathen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Craig Lathen affiliated with any hospitals?

According to CMS data, Craig Lathen is affiliated with St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Lathen was last updated on January 31, 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.