MRS. LATANJA SHANTA BETTIS (CRNP) – Family Nurse Practitioner, NPI 1780810622
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MRS. LATANJA SHANTA BETTIS (CRNP)
611 E LAUREL ST
ATMORE, AL 365023014
Phone: (251) 368-8001
Fax: (251) 368-8081
Type: Mailing
251, North Bayou Street, Mobile, Mobile County, Alabama, 36603, United States
P.O. BOX 2867
MOBILE, AL 366035827
Phone: (251) 690-8894
Fax: (251) 544-2188
Type: Mailing
Mobile Street, Mobile County Commission District 1, Citronelle, Mobile County, Alabama, 36522, United States
CITRONELLE, AL 365222122
Phone: (251) 866-7454
Fax: (251) 544-2188
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $666.
Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($172).
Total Amount
$666
General + Research + Ownership
Payments
36
Total payment records
General Amount
$666
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211026000851 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | NY | |
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Family Practice | FL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL |
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