MARTHA NANETTE BOOCHIE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083463996

MARTHA NANETTE BOOCHIE (PMHNP) is a healthcare provider. based in Chino, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 95029865 (CA). The NPI Number for MARTHA NANETTE BOOCHIE (PMHNP) is 1083463996

Main info

Female
Sole Proprietor
3 Years Of Experience
Name
MARTHA NANETTE BOOCHIE (PMHNP)
NPI
1083463996
Phone
(909) 902-9111
Address
13193 Central Ave Ste 200
Enumeration Date
14 May 2024
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9092815800
Graduation Year
2023 (3 years ago)
PAC ID
5698213031
Group Practice PAC ID
4587642467
Professional Enrollment ID
I20240815002772
Address ID
CA917632326MO5050XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MARTHA NANETTE BOOCHIE (PMHNP)

  • 13193 Central Ave Ste 200

    Chino, CA 917104179

    Phone: (909) 902-9111

    Fax: (909) 902-9199

    Type: Location

  • 11228 NASHVILLE AVE

    WHITTIER, CA 906042150

    Phone: (562) 900-4939

    Type: Mailing

  • 9089 BASE LINE RD STE 200

    RANCHO CUCAMONGA, CA 917301295

    Phone: (909) 980-3567

    Fax: (909) 989-3932

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $271.

Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($148).

Total Amount

$271

General + Research + Ownership

Payments

8

Total payment records

General Amount

$271

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240815002772INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 91710)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587642467View full group profile
NameSpecialtyState
Family PracticeCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Family PracticeCA
Nurse PractitionerCA
Family PracticeCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA

Reviews

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Frequently asked questions

Can I cross-check MARTHA NANETTE BOOCHIE (PMHNP) using NPI 1083463996?
NPI 1083463996 belongs to MARTHA NANETTE BOOCHIE (PMHNP); compare other details if you need extra assurance.
Is there an active status for MARTHA NANETTE BOOCHIE (PMHNP)?
For scheduling context, MARTHA NANETTE BOOCHIE (PMHNP) is shown as active in the registry.
What expertise is attributed to MARTHA NANETTE BOOCHIE (PMHNP)?
MARTHA NANETTE BOOCHIE (PMHNP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MARTHA NANETTE BOOCHIE (PMHNP)?
Directory geography for MARTHA NANETTE BOOCHIE (PMHNP) centers on Chino, California.
When was this NPI issued?
Enumeration for MARTHA NANETTE BOOCHIE (PMHNP) is noted as May 14, 2024 where the registry provides it.

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