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LATRISHA DIANA HICKS
NPI 1992674659
Nurse Practitioner in Norfolk, VA

Active since October 31, 2025PECOS Enrolled
930 W 21ST ST FL 2, NORFOLK, VA 23517(757) 624-1785(757) 624-1759 Get Directions Write a Review

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

About Latrisha Diana Hicks NPPES

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

LATRISHA DIANA HICKS (NPI 1992674659) is an individual nurse practitioner in Norfolk, Virginia, licensed in Virginia (0024195222) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992674659
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLATRISHA DIANA HICKS
Location Address930 W 21ST ST FL 2Norfolk, VA 23517-1516
Mailing Address930 W 21st St Fl 2Norfolk, VA 23517-1516 · (757) 624-1785 · Fax (757) 624-1759
Phone(757) 624-1785
Fax(757) 624-1759
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 31, 2025
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1992674659 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 VA · 0024195222
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.
930 W 21ST ST FL 2, Norfolk, VA 23517
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Other Names 1

Former Name (1)Latrisha Puryear

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latrisha Diana Hicks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486129475
PECOS Enrollment IDI20260407003039
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 23517 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 3

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

WILLIAM E. CALLAGHAN M.D.
Internal Medicine (Cardiovascular Disease)
930 W 21ST ST FL 2
NORFOLK, VA 23517
Norfolk City (757) 624-1785
LAUREN DRAKE PA-C
Physician Assistant (Medical)
930 W 21ST ST FL 2
NORFOLK, VA 23517
Norfolk City (757) 624-1785
DR. KEITH NEWBY SR. M.D.
Internal Medicine (Cardiovascular Disease)
930 W 21ST ST FL 2
NORFOLK, VA 23517
Norfolk City (757) 624-1785

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 Latrisha Hicks's NPI number?

The NPI number for Latrisha Hicks is 1992674659. It was assigned to this individual provider in the NPPES registry on October 31, 2025. The provider is also known as Latrisha Puryear.

Where is Latrisha Hicks located?

Latrisha Hicks practices at 930 W 21st St Fl 2, Norfolk, VA 23517. The listed phone number is (757) 624-1785.

What is Latrisha Hicks's specialty?

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

Is Latrisha Hicks enrolled in Medicare?

Yes. Latrisha Hicks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Latrisha Hicks was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.