MRS. CAROL E. BOETTCHER (ARNP) – Nurse Practitioner, NPI 1336575471

MRS. CAROL E. BOETTCHER (ARNP) is a healthcare provider. based in Port st lucie, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP2844672 (FL). The NPI Number for MRS. CAROL E. BOETTCHER (ARNP) is 1336575471

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CAROL E. BOETTCHER (ARNP)
NPI
1336575471
Phone
(772) 446-4883
Address
8491 S US HIGHWAY 1
Enumeration Date
20 September 2013
Last Update Date
8 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724464883
Graduation Year
2013 (13 years ago)
PAC ID
5890089296
Group Practice PAC ID
5597014050
Professional Enrollment ID
I20180226000869
Address ID
FL249862271PO266XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. CAROL E. BOETTCHER (ARNP)

  • 8491 S US HIGHWAY 1

    PORT ST LUCIE, FL 349523360

    Phone: (772) 446-4883

    Fax: (772) 446-4875

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($200).

Total Amount

$277

General + Research + Ownership

Payments

10

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2018-02-26

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
I20180226000869INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,472264$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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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: 5597014050View full group profile
NameSpecialtyState
Nurse PractitionerVA
Pain Management, AnesthesiologyFL

Reviews

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Frequently asked questions

Where can patients find MRS. CAROL E. BOETTCHER (ARNP)'s NPI?
You can confirm MRS. CAROL E. BOETTCHER (ARNP) with NPI 1336575471; it appears in the national provider directory.
Is MRS. CAROL E. BOETTCHER (ARNP) currently active in the NPI registry?
CMS-published data lists MRS. CAROL E. BOETTCHER (ARNP) as an active registrant.
Can you summarize MRS. CAROL E. BOETTCHER (ARNP)'s specialty in plain language?
Clinically, the directory lists MRS. CAROL E. BOETTCHER (ARNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. CAROL E. BOETTCHER (ARNP)'s primary listing?
We display Port St Lucie, Florida because that is what the record indicates for MRS. CAROL E. BOETTCHER (ARNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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