MRS. LATEEFA ANTROM (CRNP) – Family Nurse Practitioner, NPI 1487017125

MRS. LATEEFA ANTROM (CRNP) is a healthcare provider. based in North wales, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP015881 (PA). The NPI Number for MRS. LATEEFA ANTROM (CRNP) is 1487017125

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LATEEFA ANTROM (CRNP)
NPI
1487017125
Phone
(610) 506-8509
Address
1616 ROSE LN
Enumeration Date
31 March 2016
Last Update Date
6 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2153269065
Graduation Year
2015 (11 years ago)
PAC ID
5698074375
Group Practice PAC ID
7315487980
Professional Enrollment ID
I20160502000977
Address ID
PA194541320NO1427XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MRS. LATEEFA ANTROM (CRNP)

  • 1616 ROSE LN

    NORTH WALES, PA 194543623

    Phone: (610) 506-8509

    Type: Mailing

  • 8216 PICKERING ST

    PHILADELPHIA, PA 191501211

    Phone: (610) 506-8509

    Type: Mailing

  • 699 W GERMANTOWN PIKE

    NORRISTOWN, PA 194034233

    Phone: (215) 543-0715

    Type: Location

  • 699 W Germantown Pike

    Norristown, PA 194034233

    Phone: (215) 543-0715

    Type: Location

  • 1427 HORSHAM RD

    NORTH WALES, PA 194541320

    Phone: (215) 326-9065

    Fax: (215) 703-9776

    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: 2016-05-02

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
I20160502000977INurse PractitionerPATBD

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
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes57146$0
99442Telephone medical discussion with physician, 11-20 minutes5548$0
View full utilization report →

Insurance plans in this area (ZIP 19454)

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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: 7315487980View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA
Physician AssistantPA
Nurse PractitionerPA
Internal MedicinePA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Where can patients find MRS. LATEEFA ANTROM (CRNP)'s NPI?
You can confirm MRS. LATEEFA ANTROM (CRNP) with NPI 1487017125; it appears in the national provider directory.
Is MRS. LATEEFA ANTROM (CRNP) currently active in the NPI registry?
CMS-published data lists MRS. LATEEFA ANTROM (CRNP) as an active registrant.
What kind of provider is MRS. LATEEFA ANTROM (CRNP)?
The page reflects Family Nurse Practitioner for MRS. LATEEFA ANTROM (CRNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. LATEEFA ANTROM (CRNP)?
The page summarizes North Wales, Pennsylvania for MRS. LATEEFA ANTROM (CRNP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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