Jennifer Latteri, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA068007 Issued in PA

Practice address

500 Evergreen Dr Ste 20
Glen Mills, PA 19342-1032

Phone

(484) 785-3376

Fax

(610) 358-6913

NPI assigned

Aug 28, 2020

Last updated

Jul 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connolly Dermatology Delaware LLCGroup PAC ID 8224426838, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connolly Dermatology Delaware LLC

  • Dermatology Physician
  • Lewes, DE
  • NPI 1932779881
  Medicare reassignment Care Compare group NPD
• Associates in Medical and Cosmetic Dermatology, PC

  • Specialist
  • Glen Mills, PA
  • NPI 1477639425
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1689287781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 STAFFORD AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115577",
            "telephone_number": "484-785-3376",
            "fax_number": "610-358-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EVERGREEN DR STE 20",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421032",
            "telephone_number": "484-785-3376",
            "fax_number": "610-358-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTERI",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA068007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kugelman, MD
• Bethany Kutz, MD
• Haley L Kypers, SLP
• Christy Lampley
• Brian Joseph Landi, DO
• Alice D Lattimore, RPH
• Lauren Lay, PMHNP-BC
• Cecelia Leardi
• Tyler Ledford
• Amanda Lee

• Medical Physician Assistant in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.