LATRICE JEANNETTE BERRY (FNP) – Family Nurse Practitioner, NPI 1861009540

LATRICE JEANNETTE BERRY (FNP) is a healthcare provider. based in Nacogdoches, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1013523 (TX). The NPI Number for LATRICE JEANNETTE BERRY (FNP) is 1861009540

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LATRICE JEANNETTE BERRY (FNP)
NPI
1861009540
Phone
(936) 207-5188
Address
330 W COLLEGE ST
Enumeration Date
28 September 2020
Last Update Date
28 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2104040800
Graduation Year
2020 (6 years ago)
PAC ID
1355756065
Group Practice PAC ID
5092093153
Professional Enrollment ID
I20210210001476
Address ID
TX782584206SA18600BLVD400
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

22,204 NURSE PRACTITIONER in TX

Provider Addresses for LATRICE JEANNETTE BERRY (FNP)

  • 330 W COLLEGE ST

    NACOGDOCHES, TX 759653911

    Phone: (936) 207-5188

    Mailing address matches the actual address.

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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-02-10

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
I20210210001476INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2212$0
View full utilization report →

Insurance plans in this area (ZIP 75965)

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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: 5092093153View full group profile
NameSpecialtyState
Internal MedicineTX
H O S P I T A L I S TTX
Internal MedicineTX
Hospitalist, Internal Medicine, Internal MedicineLA
Family Practice, HospitalistTX
Internal Medicine, Emergency Medicine, HospitalistLA

Reviews

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Frequently asked questions

Is there an official ID for LATRICE JEANNETTE BERRY (FNP) in U.S. healthcare records?
The official identifier for LATRICE JEANNETTE BERRY (FNP) is NPI 1861009540.
Active or inactive — what applies to LATRICE JEANNETTE BERRY (FNP)?
You should see LATRICE JEANNETTE BERRY (FNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for LATRICE JEANNETTE BERRY (FNP)?
At a glance, LATRICE JEANNETTE BERRY (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LATRICE JEANNETTE BERRY (FNP)?
Travel planning: use Nacogdoches, Texas as the reference point for LATRICE JEANNETTE BERRY (FNP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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