ANDREA LATTIMORE (FNP-BC) – Family Nurse Practitioner, NPI 1144929027
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,359 NURSE PRACTITIONER in VA
Provider Addresses for ANDREA LATTIMORE (FNP-BC)
4141 S FOUR MILE RUN DR UNIT 402
ARLINGTON, VA 222043963
Phone:
Type: Mailing
6354 WALKER LN STE 210
ALEXANDRIA, VA 223103255
Phone: (703) 971-6900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $97.
Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Vertical Pharmaceuticals, LLC ($31).
Total Amount
$97
General + Research + Ownership
Payments
4
Total payment records
General Amount
$97
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vertical Pharmaceuticals, LLC | $31 |
| kaleo, Inc. | $27 |
| Corium, LLC | $22 |
| Merck Sharp & Dohme LLC | $17 |
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: 2025-11-25
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250826000195 | I | Nurse Practitioner | DC | TBD |
| I20251125001036 | I | Nurse Practitioner | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| Nurse Practitioner | DC | |
| Radiation Oncology | VA | |
| Radiation Oncology | MD | |
| - | VA | |
| Physician Assistant | VA | |
| Radiation Oncology | VA | |
| Radiation Oncology | MD | |
| Radiation Oncology | VA | |
| Radiation Oncology | MA |
Reviews
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