Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mr. Dalton Enrico Latham, NP-NURSEPRACTITION

Individual provider Adult Health Nurse Practitioner · NPI 1194291179

Mr. Dalton Enrico Latham, NP-NURSEPRACTITION is a Nurse Practitioner in Berrien Springs, Michigan. Qualified in 2003, 23 years ago. Practices with Pine Ridge Indian Health Service Hospital, a 104-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

8521 Kephart Ln
Berrien Springs, MI 49103
Phone: (269) 277-3260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704211443 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704211443 (MI)

Record details

NPI number1194291179
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-NURSEPRACTITION
Sole proprietorNo
NPI enumeratedOctober 17, 2018
Last updated in NPPESOctober 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Pine Ridge Indian Health Service Hospital — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients276
Services billed 425 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Pine Ridge Indian Health Service Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 104 clinicians in the practice; 12 are shown here.