MARY E BOOTH (DNP) – Family Nurse Practitioner, NPI 1003459132
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MARY E BOOTH (DNP)
332, South Main Avenue, Republic, Greene County, Missouri, 65738, United States
REPUBLIC, MO 657381861
Phone: (417) 732-5050
Type: Mailing
1 SAINT JOSEPH DR
CENTERVILLE, IA 525449017
Phone: (641) 437-3000
Fax: (641) 437-3403
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $928.
Total Amount is formed as General ($928) + Research ($0) + Ownership ($0) = $928.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($280).
Total Amount
$928
General + Research + Ownership
Payments
49
Total payment records
General Amount
$928
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $280 |
| Novo Nordisk Inc | $173 |
| Lilly USA, LLC | $98 |
| ABBVIE INC. | $96 |
| Phathom Pharmaceuticals, Inc. | $75 |
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: 2024-11-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191108001423 | I | Nurse Practitioner | MO | TBD |
| I20241101001919 | I | Nurse Practitioner | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 366 | 187 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 189 | 122 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 132 | 132 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 43 | $0 |
| G0008 | Administration of influenza virus vaccine | 43 | 43 | $0 |
Insurance plans in this area (ZIP 65738)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | IA | |
| Geriatric Medicine, Family Practice | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA |
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