CRAIG LARRY LATHEN (FNP) – Nurse Practitioner, NPI 1962265199

CRAIG LARRY LATHEN (FNP) is a healthcare provider. based in Mountain city, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 55861 (ID). The NPI Number for CRAIG LARRY LATHEN (FNP) is 1962265199

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG LARRY LATHEN (FNP)
NPI
1962265199
Phone
(208) 851-2472
Address
PO BOX 116
Enumeration Date
31 January 2024
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757572415
Graduation Year
2022 (4 years ago)
PAC ID
6709324106
Group Practice PAC ID
5092871889
Professional Enrollment ID
I20240816000944
Address ID
NV898321200OW1623XLOOP300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for CRAIG LARRY LATHEN (FNP)

  • PO BOX 116

    MOUNTAIN CITY, NV 898310116

    Phone: (208) 851-2472

    Type: Mailing

  • 1623 HOSPITAL LOOP

    OWYHEE, NV 898321200

    Phone: (775) 757-2415

    Fax: (775) 757-3010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Medtronic, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$15
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: 2024-08-16

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
I20240816000944INurse 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.

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

Insurance plans in this area (ZIP 89831)

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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: 5092871889View full group profile
NameSpecialtyState
Nurse PractitionerID
Family PracticePA
Clinical Social WorkerNV
-MT
O P T O M E T R YID
Nurse PractitionerMT
Nurse PractitionerID
Nurse PractitionerNV
Nurse PractitionerND

Reviews

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Frequently asked questions

What number should I use to identify CRAIG LARRY LATHEN (FNP) for billing?
Administrative and clinical systems typically use NPI 1962265199 for CRAIG LARRY LATHEN (FNP).
Quick check: is CRAIG LARRY LATHEN (FNP) active?
Public NPPES data shows CRAIG LARRY LATHEN (FNP) with an active NPI status right now.
What services align with CRAIG LARRY LATHEN (FNP)'s listing?
CRAIG LARRY LATHEN (FNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to CRAIG LARRY LATHEN (FNP)?
CRAIG LARRY LATHEN (FNP) shows a connection to Mountain City, Nevada in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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