CLARE LATTIMORE (F.N.P.) – Family Nurse Practitioner, NPI 1558347989

CLARE LATTIMORE (F.N.P.) is a healthcare provider. based in Glennallen, Alaska. specializing in Family Nurse Practitioner. They hold the professional credentials F.N.P.. They hold a License No. 10879-0225-02 (AK). The NPI Number for CLARE LATTIMORE (F.N.P.) is 1558347989

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
CLARE LATTIMORE (F.N.P.)
NPI
1558347989
Phone
(907) 822-3203
Address
PO BOX 5
Enumeration Date
18 December 2005
Last Update Date
18 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075811202
Graduation Year
1990 (36 years ago)
PAC ID
7214025550
Group Practice PAC ID
5294635165
Professional Enrollment ID
I20100901000833
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CLARE LATTIMORE (F.N.P.)

  • Glennallen, Unorganized Borough, Alaska, United States

    GLENNALLEN, AK 995880589

    Phone: (907) 822-3203

    Fax: (907) 822-5805

    Type: Mailing

  • 187, Glenn Highway, Glennallen, Unorganized Borough, Alaska, 99588, United States

    GLENNALLEN, AK 995880589

    Phone: (907) 822-3203

    Fax: (907) 822-5805

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-09-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100901000833INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99283Emergency department visit with low level of medical decision making2424$0
View full utilization report →

Insurance plans in this area (ZIP 99588)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294635165View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Nurse PractitionerNC
Nurse PractitionerCA
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyWA
Diagnostic RadiologyWA
Family PracticeAK
Nurse PractitionerAL

Reviews

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Frequently asked questions

Where can patients find CLARE LATTIMORE (F.N.P.)'s NPI?
You can confirm CLARE LATTIMORE (F.N.P.) with NPI 1558347989; it appears in the national provider directory.
Is CLARE LATTIMORE (F.N.P.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CLARE LATTIMORE (F.N.P.) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for CLARE LATTIMORE (F.N.P.). Clinical services aligned with this taxonomy classification.
What location metadata exists for CLARE LATTIMORE (F.N.P.)?
The page summarizes Glennallen, Alaska for CLARE LATTIMORE (F.N.P.); expand the address list for detail.
What if Glennallen, Alaska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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