JACQUELINE VANITA BOODHOO (APRN) – Adult Health Nurse Practitioner, NPI 1376707562

JACQUELINE VANITA BOODHOO (APRN) is a healthcare provider. based in Altamonte springs, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN221717 (GA). The NPI Number for JACQUELINE VANITA BOODHOO (APRN) is 1376707562

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE VANITA BOODHOO (APRN)
NPI
1376707562
Phone
(407) 303-5191
Address
661 E Altamonte Dr Ste 220
Enumeration Date
16 July 2008
Last Update Date
26 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072360404
Graduation Year
2007 (19 years ago)
PAC ID
1153577523
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20210916003486
Address ID
FL328062946OR1717XAVEX449
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:17State licenses:4Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JACQUELINE VANITA BOODHOO (APRN)

  • 661 E Altamonte Dr Ste 220

    Altamonte Springs, FL 327015102

    Phone: (407) 303-5191

    Fax: (407) 303-5193

    Type: Location

  • Clifton Road Northeast, Emory Highlands, Druid Hills, DeKalb County, Georgia, 30329, United States

    RM 1266B

    ATLANTA, GA 303221013

    Phone: (404) 778-3184

    Type: Mailing

  • 661 E ALTAMONTE DR STE 220

    ALTAMONTE SPRINGS, FL 327015102

    Phone: (407) 303-5191

    Fax: (407) 303-5193

    Type: Mailing

  • 1717 S ORANGE AVE

    ORLANDO, FL 328062944

    Phone: (321) 841-4344

    Fax: (321) 843-1753

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $633.

Total Amount is formed as General ($633) + Research ($0) + Ownership ($0) = $633.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Guard Medical Inc. ($144).

Total Amount

$633

General + Research + Ownership

Payments

22

Total payment records

General Amount

$633

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2021-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120820000310INurse PractitionerGATBD
I20210916003486INurse 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 minutes4436$0
46600Diagnostic exam of anus using an endoscope4234$0
99215Established patient office or other outpatient visit, 40-54 minutes2823$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 32701)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

What is the registry number for JACQUELINE VANITA BOODHOO (APRN)?
The registry entry for JACQUELINE VANITA BOODHOO (APRN) shows NPI 1376707562.
Is JACQUELINE VANITA BOODHOO (APRN)'s NPI status active today?
Active status means JACQUELINE VANITA BOODHOO (APRN)'s NPI record is not deactivated in the public file.
What does the directory say JACQUELINE VANITA BOODHOO (APRN) does?
Insurance directories may phrase it differently, but here JACQUELINE VANITA BOODHOO (APRN) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JACQUELINE VANITA BOODHOO (APRN)?
JACQUELINE VANITA BOODHOO (APRN) is associated with Altamonte Springs, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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