JANI LYNN BOOTHBY (ARNP) – Family Nurse Practitioner, NPI 1407450141

JANI LYNN BOOTHBY (ARNP) is a healthcare provider. based in Cherokee, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. A160940 (IA). The NPI Number for JANI LYNN BOOTHBY (ARNP) is 1407450141

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JANI LYNN BOOTHBY (ARNP)
NPI
1407450141
Phone
(712) 229-3622
Address
5228 CREST DR
Enumeration Date
23 November 2020
Last Update Date
23 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122256265
Graduation Year
2020 (6 years ago)
PAC ID
5294140166
Group Practice PAC ID
4880501881
Professional Enrollment ID
I20210226002461
Address ID
IA510121205CH300XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for JANI LYNN BOOTHBY (ARNP)

  • 5228 CREST DR

    CHEROKEE, IA 510127249

    Phone: (712) 229-3622

    Type: Mailing

  • 715 W MILWAUKEE AVE

    STORM LAKE, IA 505881564

    Phone: (712) 229-3622

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-10-09 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($14).

Total Amount

$27

General + Research + Ownership

Payments

2

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-09

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: 2021-02-26

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
I20210226002461INurse PractitionerIATBD

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
80061Blood test, lipids (cholesterol and triglycerides)3831$0
83036Hemoglobin a1c level2619$0
81003Automated urinalysis test1614$0
View full utilization report →

Insurance plans in this area (ZIP 51012)

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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: 4880501881View full group profile
NameSpecialtyState
Nurse PractitionerIA
P O D I A T R YFL
-IA
Nurse PractitionerFL
Nurse PractitionerIA
-LA
Family PracticeWY
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
-IA

Reviews

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Frequently asked questions

How do payers reference JANI LYNN BOOTHBY (ARNP)?
For JANI LYNN BOOTHBY (ARNP), use NPI 1407450141 as the unique 10-digit identifier.
Active or inactive — what applies to JANI LYNN BOOTHBY (ARNP)?
You should see JANI LYNN BOOTHBY (ARNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for JANI LYNN BOOTHBY (ARNP)?
At a glance, JANI LYNN BOOTHBY (ARNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Iowa is JANI LYNN BOOTHBY (ARNP) registered?
Use Cherokee, Iowa as the headline location for JANI LYNN BOOTHBY (ARNP) here.
Does JANI LYNN BOOTHBY (ARNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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