Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Latgis, PA-C

Individual provider Surgical Physician Assistant · NPI 1194398800

Nicole Latgis, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2021, 5 years ago. Practices with Proassist Surgical Services, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in New Jersey and Utah.

Years since qualifying
5
Licensed in
NJ, UT
In the registry since
2021
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-3462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00641600 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence 25MP00641600 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 13698599-1206 (UT)

Record details

NPI number1194398800
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 20, 2021
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Proassist Surgical Services, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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