MS. JESSICA LYNN LATHAM (AGNP-C) – Adult Health Nurse Practitioner, NPI 1073980611
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for MS. JESSICA LYNN LATHAM (AGNP-C)
1133 DUNN RD
SUITE 2335
ST LOUIS, MO 631366119
Phone: (314) 653-5007
Fax: (314) 653-5007
Type: Location
11133 DUNN RD
SUITE 2335
SAINT LOUIS, MO 631366119
Phone: (314) 653-5007
Fax: (314) 653-4149
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,619.
Total Amount is formed as General ($1,619) + Research ($0) + Ownership ($0) = $1,619.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($830).
Total Amount
$1,619
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,619
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $830 |
| Zynex Medical, Inc. | $225 |
| SPR Therapeutics, Inc | $217 |
| Medtronic, Inc. | $157 |
| Vertos Medical, Inc. | $103 |
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: 2016-04-05
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 |
|---|---|---|---|---|
| I20160405001777 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 284 | 197 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 108 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 116 | 20 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 25 | 18 | $0 |
Insurance plans in this area (ZIP 63136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | OH | |
| Pain Management | MO | |
| N E U R O S U R G E R Y | MO | |
| A N E S T H E S I O L O G Y | IL | |
| Pain Management, Anesthesiology | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| Physical Medicine And Rehabilitation | MO | |
| Physical Medicine And Rehabilitation | MO | |
| Physician Assistant | MO |
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