LATRICE WILLIAMS – Nurse Practitioner, NPI 1568088490

LATRICE WILLIAMS is a healthcare provider. based in West memphis, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. 124535 (AR). The NPI Number for LATRICE WILLIAMS is 1568088490

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LATRICE WILLIAMS
NPI
1568088490
Phone
(870) 292-3950
Address
900 N 7TH ST
Enumeration Date
16 June 2020
Last Update Date
17 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8708170122
Graduation Year
2019 (7 years ago)
PAC ID
3779921556
Group Practice PAC ID
1052390390
Professional Enrollment ID
I20240329002776
Address ID
AR723423217HE513XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for LATRICE WILLIAMS

  • 900 N 7TH ST

    WEST MEMPHIS, AR 723012001

    Phone: (870) 292-3950

    Type: Mailing

  • PO BOX 1963

    FORREST CITY, AR 723361963

    Phone: (870) 494-5676

    Type: Mailing

  • 901 HOLIDAY DR

    FORREST CITY, AR 723359183

    Phone: (870) 633-0800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $300.

Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Organon LLC ($85).

Total Amount

$300

General + Research + Ownership

Payments

13

Total payment records

General Amount

$300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-03-29

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
I20240329002776INurse PractitionerARTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72301)

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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: 1052390390View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerTN
Physician AssistantAR
-AR
Nurse PractitionerTN
-AR
Clinical Social WorkerAR
Nurse PractitionerAR
Family PracticeAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What number should I use to identify LATRICE WILLIAMS for billing?
Administrative and clinical systems typically use NPI 1568088490 for LATRICE WILLIAMS.
Quick check: is LATRICE WILLIAMS active?
Public NPPES data shows LATRICE WILLIAMS with an active NPI status right now.
What type of care does LATRICE WILLIAMS provide?
LATRICE WILLIAMS's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to LATRICE WILLIAMS?
The directory associates LATRICE WILLIAMS with West Memphis, Arkansas. Check all listed addresses for suites or satellite offices.
Who maintains LATRICE WILLIAMS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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