LATASHA DWAN VINES RN, FNP
NPI 1972901213
Nurse Practitioner - Family in Mansfield, TX

Q: What is Latasha Vines's NPI number?

The NPI number for Latasha Vines is 1972901213. It was assigned to this individual provider in the NPPES registry on December 19, 2014.

Q: What is Latasha Vines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Latasha Vines was last updated on June 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 19, 2014PECOS EnrolledAccepts Medicare Assignment

1754 BROAD PARK CIRCLE N, MANSFIELD, TX 76063(817) 225-2718(817) 225-2771 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2020, Mar 30, 2016 (2 updates tracked since 2016).

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About Latasha Dwan Vines Rn, Fnp NPPES

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

LATASHA DWAN VINES RN, FNP (NPI 1972901213) is an individual family provider in Mansfield, Texas, licensed in Texas (AP127627) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972901213

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLATASHA DWAN VINESCredential: RN, FNP

Location Address1754 BROAD PARK CIRCLE NMansfield, TX 76063

Mailing Address2200 Matlock RdMansfield, TX 76063-3855

Phone(817) 225-2718

Fax(817) 225-2771

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 19, 2014

Last NPPES UpdateJune 24, 20202 updates tracked since enumeration

NPPES CertifiedJune 24, 2020

✔ NPI 1972901213 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

Licenses✔ Licensed in TX · AP127627✔ Licensed in MN · 1922

1754 BROAD PARK CIRCLE N, Mansfield, TX 76063

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Latasha Dwan Vines Rn, 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 ID3577880152

PECOS Enrollment IDI20160421000304

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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

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

DR. STEVEN P HAVARD MD

Internal Medicine (Cardiovascular Disease)

1754 BROAD PARK CIRCLE N, SUITE 201
MANSFIELD, TX 76063

Tarrant County (817) 225-2718

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 Latasha Vines's NPI number?

The NPI number for Latasha Vines is 1972901213. It was assigned to this individual provider in the NPPES registry on December 19, 2014.

Where is Latasha Vines located?

Latasha Vines practices at 1754 Broad Park Circle N, Mansfield, TX 76063. The listed phone number is (817) 225-2718.

What is Latasha Vines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Latasha Vines enrolled in Medicare?

Yes. Latasha Vines 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.

What insurance does Latasha Vines accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Latasha Vines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latasha Vines was last updated on June 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.