LATWANYA J TRAYLOR (NP) – Primary Care Nurse Practitioner, NPI 1093955536
Primary Care Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for LATWANYA J TRAYLOR (NP)
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
1001 N. Beckley Ave.
Suite 430C
Desoto, TX 75115
Phone: (469) 765-1600
Fax: (469) 765-1578
Type: Location
800 E Dawson St
Tyler, TX 757012036
Phone: (903) 606-7264
Type: Location
North Collins Street, Arlington, Tarrant County, Texas, 76006, United States
SUITE 433-320
ARLINGTON, TX 760112849
Phone: (682) 808-4510
Fax: (682) 808-4511
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765080001
Phone: (254) 724-2111
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: 2010-09-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100916001319 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 128 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 19 | 17 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Family Practice | TX | |
| - | TX | |
| - | GA | |
| General Practice | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Geriatric Medicine, Family Practice | TX | |
| Physician Assistant | TX |
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