TAMI SUE KING-LATKA (NP) – Adult Health Nurse Practitioner, NPI 1780609727
Adult Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TAMI SUE KING-LATKA (NP)
Penrose Hospital, 2222, North Nevada Avenue, Old North End, Colorado Springs, El Paso County, Colorado, 80907, United States
SUITE 5011
COLORADO SPRINGS, CO 809076819
Phone: (719) 776-7600
Type: Location
4050 Briargate Pkwy Ste B1219
Colorado Springs, CO 809207815
Phone: (719) 365-6529
Fax: (719) 365-5831
Type: Location
1400 E BOULDER ST STE 2410
COLORADO SPRINGS, CO 809095533
Phone: (719) 365-6529
Fax: (719) 365-5831
Type: Location
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 805389071
Phone: (970) 624-4451
Fax: (970) 490-4199
Type: Mailing
753, Witchhazel Court, Colorado Springs, El Paso County, Colorado, 80921, United States
SUITE 5011
COLORADO SPRINGS, CO 809215699
Phone: (719) 776-7600
Type: Mailing
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: 2004-03-16
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 |
|---|---|---|---|---|
| I20040316000837 | I | Nurse Practitioner | CO | 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 80907)
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