MRS. STACY LYNN BOOTHE (CNS) – Clinical Nurse Specialist, NPI 1114964913

MRS. STACY LYNN BOOTHE (CNS) is a healthcare provider. based in Norman, Oklahoma. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials CNS. They hold a License No. R0072509 (OK). The NPI Number for MRS. STACY LYNN BOOTHE (CNS) is 1114964913

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACY LYNN BOOTHE (CNS)
NPI
1114964913
Phone
(405) 515-2222
Address
PO BOX 1330
Enumeration Date
1 June 2006
Last Update Date
11 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055151000
Graduation Year
2005 (21 years ago)
PAC ID
2062415839
Group Practice PAC ID
5496900706
Professional Enrollment ID
I20060816000452
Address ID
OK730729749NO3300XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

123 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OK

Loading map...

Provider Addresses for MRS. STACY LYNN BOOTHE (CNS)

  • Norman Post Office, West Gray Street, Norman, Cleveland County, Oklahoma, 73069, United States

    NORMAN, OK 730701330

    Phone: (405) 515-2222

    Fax: (405) 307-6660

    Type: Mailing

  • HealthPlex Parkway, Norman, Cleveland County, Oklahoma, 73069, United States

    SUITE 200

    NORMAN, OK 730729738

    Phone: (405) 515-2222

    Fax: (405) 515-2251

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 133 Open Payments records for all available years, with a total value of $2,643.

Total Amount is formed as General ($2,643) + Research ($0) + Ownership ($0) = $2,643.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Abbott Laboratories ($502).

Total Amount

$2,643

General + Research + Ownership

Payments

133

Total payment records

General Amount

$2,643

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2006-08-16

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
I20060816000452ICertified Clinical Nurse Specialist (Cns)OKTBD

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 minutes418318$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report251173$0
99213Established patient office or other outpatient visit, 20-29 minutes11298$0
36415Insertion of needle into vein for collection of blood sample2523$0
View full utilization report →

Insurance plans in this area (ZIP 73070)

Loading plans...

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: 5496900706View full group profile
NameSpecialtyState
N E U R O L O G YOK
Cardiovascular Disease (Cardiology), Internal MedicineOK
Critical Care (Intensivists), Pulmonary DiseaseOK
Cardiovascular Disease (Cardiology), Internal MedicineOK
-OK
-OK
Critical Care (Intensivists), Pulmonary Disease, Internal MedicineOK
Certified Registered Nurse Anesthetist (Crna)OK
G A S T R O E N T E R O L O G YOK
-OK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MRS. STACY LYNN BOOTHE (CNS) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. STACY LYNN BOOTHE (CNS) uses 1114964913.
Does the file indicate MRS. STACY LYNN BOOTHE (CNS) is practicing under active NPI?
Directory data currently reports MRS. STACY LYNN BOOTHE (CNS) as active.
What is MRS. STACY LYNN BOOTHE (CNS)'s primary classification?
Clinical Nurse Specialist is the headline specialty for MRS. STACY LYNN BOOTHE (CNS) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. STACY LYNN BOOTHE (CNS)?
MRS. STACY LYNN BOOTHE (CNS)'s geographic hint is Norman, Oklahoma in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

ALICIA D JOHNSON (APRN-CNP)

Nurse Practitioner
PO BOX 1330
NPI: 1225235377

MRS. CARLEETA YVONNE NELSON (C.N.S)

Clinical Nurse Specialist
500, East Robinson Street, Norman, Cleveland County, Oklahoma, 73071, United States
NPI: 1093953515

GINA MARIE GRADY (MSN APRN-CNS)

Clinical Nurse Specialist
3650 W ROCK CREEK RD
NPI: 1083094908

JAMIE LOUISE HUNT (APRN-CNS)

Clinical Nurse Specialist
6505, 120th Avenue Northeast, Norman, Cleveland County, Oklahoma, 73026, United States
NPI: 1003314600

CHERYL ABIGAIL WEST (APRN, AGCNS-BC)

Clinical Nurse Specialist
408, Trenton Road, Norman, Cleveland County, Oklahoma, 73069, United States
NPI: 1649824228
3450 PALOMINO WAY
NPI: 1124788336

MS. KELSEY ANNE COOPER (APRN)

Clinical Nurse Specialist
611 GREEN FISH CIR
NPI: 1306584438